Doctor Name: | VICTORIA F SCANLAN |
NPI Number: | 1164717708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 248222 |
Business Practice Address: | 41 Mall Rd Department Of Internal Medicine Burlington, MA - 018050001 |
Business Phone Number: | 7817447000 |
Business Fax Number: | 7817445352 |
Mailing Address: | 41 Mall Rd, Department Of Internal Medicine BURLINGTON |
State: | MA |
Postal Code: | 018050001 |
Phone Number: | 7817447000 |
Fax Number: | 7817445352 |
NPI Enumeration Date: | 06/11/2011 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 248222 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |