Provider Demographics
NPI:1255642682
Name:HADLEY, MICHELLE LEIGH (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LEIGH
Last Name:HADLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:123 SUMMER ST STE 655
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1216
Mailing Address - Country:US
Mailing Address - Phone:888-277-0071
Mailing Address - Fax:508-363-9037
Practice Address - Street 1:102 SHORE DR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3154
Practice Address - Country:US
Practice Address - Phone:508-407-7930
Practice Address - Fax:508-856-0525
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA256286207RC0000X
MA243431207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine