Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 57150 | MA |
NPI | 1194705814 |
---|---|
Provider Name | Phyllis W Scherr |
First Address | Wellesley Hills, MA 02481-5521 |
Second Address | Newton, MA 02462-1650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 07/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A14192 | (02) |