Provider Demographics
NPI:1457376808
Name:HAYES, JOHN PAUL JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:HAYES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:PAUL
Other - Last Name:HAYES
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:475 SCHOOL ST STE 7
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2034
Mailing Address - Country:US
Mailing Address - Phone:781-659-7989
Mailing Address - Fax:781-659-2360
Practice Address - Street 1:475 SCHOOL ST STE 7
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2034
Practice Address - Country:US
Practice Address - Phone:781-659-7989
Practice Address - Fax:781-659-2360
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA292698207Q00000X
PAMT220028207Q00000X
PAMD220028207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA591OtherLICENSE
MA591OtherLICENSE