Hardy, Stephen Clayton
Hardy, Stephen Clayton is an individual health care provider with primary practice located at 55 Fruit St Yaw 6 Pediatric Gi And Nutrition Associates, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Hardy, Stephen Clayton can be contacted via phone (617) 726-2930.Contact Information
Primary practice address
55 Fruit St Yaw 6 Pediatric Gi And Nutrition Associates
Boston MA 02114
Phone: (617) 726-2930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 71020 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 71020 | Massachusetts |
Profile Details
| NPI number | 1053389395 |
|---|---|
| LBN Legal business name | Hardy, Stephen Clayton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Apr 12th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053389395 | NPPES |
| Massachusetts | MEDICAID | 3085830 | |
| Massachusetts | Other | J10861 | |
| Massachusetts | Other | 726013 |
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