MEDICARE: DR. ROULA AMAL HAWIT MD

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	208000000X	Pediatrics Physician	D0058827	MD

General Provider Information

NPI Number	:	1700973278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROULA AMAL HAWIT MD

Provider Business Mailing Address
First Line	:	PO BOX 1229
Second Line	:
City	:	DUNKIRK
State	:	MD
Zip	:	20754-1229
Country	:	US
Telephone Number	:	410-286-9844
Fax Number	:	410-286-9843

Provider Business Practice Location Address
First Line	:	2417 SOLOMONS ISLAND RD STE E
Second Line	:
City	:	HUNTINGTOWN
State	:	MD
Zip	:	20639-8732
Country	:	US
Telephone Number	:	410-286-9844
Fax Number	:	410-286-9843

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/30/2020

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