Healthcare Provider Details

I. General information

NPI: 1891037313
Provider Name (Legal Business Name): LEAH HAWKINS BRESSLER M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH KATHERINE HAWKINS

II. Dates (important events)

Enumeration Date: 03/22/2013
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KEISLER DR STE 102
CARY NC
27518-7083
US

IV. Provider business mailing address

9600 BLACKWELL RD STE 500
ROCKVILLE MD
20850-3783
US

V. Phone/Fax

Practice location:
  • Phone: 984-464-2244
  • Fax: 984-464-3160
Mailing address:
  • Phone:
  • Fax: 855-420-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number2017-00208
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: