Doctor Name: | BETSY SHERRY |
NPI Number: | 1649251281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 72613 |
Business Practice Address: | 300 Mount Auburn St Suite 317 Cambridge, MA - 021385600 |
Business Phone Number: | 6174995095 |
Business Fax Number: | 6174995714 |
Mailing Address: | 300 Mount Auburn St, Suite 317 CAMBRIDGE |
State: | MA |
Postal Code: | 021385600 |
Phone Number: | 6174995095 |
Fax Number: | 6174995714 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 04/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 72613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |