Provider Demographics
NPI:1457586893
Name:HADLAND, SCOTT E (MD, MPH, MS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:E
Last Name:HADLAND
Suffix:
Gender:M
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:175 CAMBRIDGE ST FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2743
Mailing Address - Country:US
Mailing Address - Phone:617-724-3873
Mailing Address - Fax:617-726-1990
Practice Address - Street 1:165 CAMBRIDGE ST FL 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2783
Practice Address - Country:US
Practice Address - Phone:617-643-1201
Practice Address - Fax:617-726-1990
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2504282083A0300X, 208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110092810AMedicaid
MA2628301Medicare PIN