Healthcare Provider Details

I. General information

NPI: 1972536043
Provider Name (Legal Business Name): CHERYL A HARDENBROOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68A MAIN ST
MEDWAY MA
02053-1775
US

IV. Provider business mailing address

9 INDUSTRIAL RD STE 5
MILFORD MA
01757-3736
US

V. Phone/Fax

Practice location:
  • Phone: 508-321-2845
  • Fax:
Mailing address:
  • Phone: 508-473-1480
  • Fax: 508-473-2709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number152562
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: