Provider Demographics
NPI:1578632279
Name:HARDY, JAMES PATRICK (MB BS BSC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:HARDY
Suffix:
Gender:M
Credentials:MB BS BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SALT LND
Mailing Address - Street 2:
Mailing Address - City:BEL TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920
Mailing Address - Country:US
Mailing Address - Phone:617-412-1152
Mailing Address - Fax:
Practice Address - Street 1:18 SALT LND
Practice Address - Street 2:
Practice Address - City:BEL TIBURON
Practice Address - State:CA
Practice Address - Zip Code:94920
Practice Address - Country:US
Practice Address - Phone:617-412-1152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225859207L00000X
CAA141159207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology