Provider Information for 1447250352
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. MICHAEL JAMES SCANLON DPM
Sex: Male
NPI: 1447250352
Last Updated: 2022-07-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447250352 | ||||||||||||||
| Enumeration Date | 2005-07-21 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 162 MANSFIELD AVE APT A WILLIMANTIC, CT 06226-2062 United States Phone: 860-456-4250 | Fax:860-456-3745 | ||||||||||||||
| Primary Practice Address | 162 MANSFIELD AVE APT A WILLIMANTIC, CT 06226-2062 United States Phone: 860-456-4250 | Fax:860-456-3745 | ||||||||||||||
| Secondary Practice Address(es) | 1 ROYCE CIR | ||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|