Provider Demographics
NPI:1689636037
Name:HARDENBROOK, MITCHELL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:ALAN
Last Name:HARDENBROOK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:54 HOPEDALE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1719
Mailing Address - Country:US
Mailing Address - Phone:508-297-8500
Mailing Address - Fax:508-297-8540
Practice Address - Street 1:54 HOPEDALE ST STE 3
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1719
Practice Address - Country:US
Practice Address - Phone:508-297-8500
Practice Address - Fax:508-297-8540
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2023-04-03
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Provider Licenses
StateLicense IDTaxonomies
MA213207207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine