Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 71681 | MA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 71681 | MA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 71681 | MA |
NPI | 1235178328 |
---|---|
Provider Name | Spencer R Amesbury |
First Address | Ipswich, MA 01938-2623 |
Second Address | Beverly, MA 01915-6198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 07/05/2015 |