Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH1699 | MA |
Y | 111NN1001X | Nutrition | 930 | NH |
N | 111NN1001X | Nutrition | CH1699 | MA |
NPI | 1225464241 |
---|---|
Provider Name | Dr. Bruce E. Hadden |
First Address | Beverly, MA 01915-4135 |
Second Address | Stratham, NH 03885-2467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2013 |
Last Update Date | 26/03/2014 |