Provider Demographics
NPI:1548226517
Name:HAYES, JAMES L (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:133 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3904
Mailing Address - Country:US
Mailing Address - Phone:617-421-1336
Mailing Address - Fax:617-421-1359
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1336
Practice Address - Fax:617-421-1359
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA813612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3140865Medicaid
MA3968848001OtherCIGNA
MD761263OtherTUFTS HEALTH PLAN
MA3968848001OtherHEALTHSOURCE
MAR232OtherHARVARD PILGRIM
MA0017152OtherNEIGHBORHOOD HEALTH
MDJ16113OtherBLUE CROSS BLUE SHIELD
MAP00136850OtherRAILROAD
MD761263OtherTUFTS HEALTH PLAN
MA3968848001OtherHEALTHSOURCE