Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1953 | MA |
NPI | 1124115423 |
---|---|
Provider Name | Dr. James Scorzelli |
First Address | Woburn, MA 01801-1865 |
Second Address | Woburn, MA 01801-1865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 28/11/2007 |