Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 75754 | MA |
N | 207VE0102X | Reproductive Endocrinologist | 8890 | NH |
NPI | 1457445256 |
---|---|
Provider Name | R. Ian Hardy |
First Address | Reading, MA 01867-3218 |
Second Address | Reading, MA 01867-3218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F27800 | (02) | MA |