Provider Demographics
NPI:1548360035
Name:HARDY, PAUL MILLARD (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MILLARD
Last Name:HARDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 PHOENIX MILL LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1476
Mailing Address - Country:US
Mailing Address - Phone:603-784-5266
Mailing Address - Fax:603-784-5295
Practice Address - Street 1:1 PHOENIX MILL LN
Practice Address - Street 2:SUITE 101
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1476
Practice Address - Country:US
Practice Address - Phone:603-784-5266
Practice Address - Fax:603-784-5295
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA412312084N0400X, 2084P0005X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0005XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurodevelopmental Disabilities
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB73503Medicare UPIN
MAC16142Medicare ID - Type UnspecifiedPROVIDER NUMBER