Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 156173 | MA |
NPI | 1801862727 |
---|---|
Provider Name | Scott H Britz-Cunningham |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110062482A | (05) | MA |
156173 | TUFTS HEALTH CARE (01) | MA |
3207382 | (05) | MA |
H15063 | (02) | |
J22256 | BLUE CROSS BLUE SHIELD (01) | MA |