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NPI Code Detail

MEDICARE: MICHAEL T HAYES MD

MEDICARE: MICHAEL T HAYES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician70554MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689663338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL T HAYES MD
Provider Business Mailing Address
First Line : 111 CYPRESS ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02445-6002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 FOGG RD
Second Line : DEPARTMENT OF NEUROLOGY
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2432
Country : US
Telephone Number : 781-624-8448
Fax Number : 781-624-4378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 04/18/2012

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