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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053389395 NPPES
Massachusetts MEDICAID 3085830
Massachusetts Other J10861
Massachusetts Other 726013

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