MEDICARE: DR. DAWN JENNIFER BROOKS MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	069703	CT
2	207RH0003X	Hematology & Oncology Physician	069703	CT
3	207RX0202X	Medical Oncology Physician	MD28013	ME
4	207RH0003X	Hematology & Oncology Physician	MD28013	ME

General Provider Information

NPI Number	:	1336465715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN JENNIFER BROOKS MD, PHD

Provider Business Mailing Address
First Line	:	80 SEYMOUR STREET
Second Line	:	HARTFORD HOSPITAL CANCER CENTER
City	:	HARTFORD
State	:	CT
Zip	:	06102-8000
Country	:	US
Telephone Number	:	860-972-4183
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 FISHER DRIVE
Second Line	:	HARTFORD HOSPITAL CANCER CENTER
City	:	AVON
State	:	CT
Zip	:	06001-3798
Country	:	US
Telephone Number	:	860-674-0088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2010
Last Update Date	:	01/14/2026

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