Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 41250 | MA |
NPI | 1780665091 |
---|---|
Provider Name | Dr. James Arthur Scott |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 26/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2087642 | (05) | MA |
702116 | TUFTS HEALTH PLAN (01) | MA |
C46383 | (02) | |
E05253 | BCBS MA (01) | MA |