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Provider Information for 1811969611

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. R(OBERT) MICHAEL SCOTT M.D.

Gender: MALE

Individual NPI: 1811969611

Calendar   Last Updated:  2011-04-20
  Certification Date: 

Details

Name Value
NPI 1811969611
Enumeration Date 2006-02-06
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE HUNNEWELL 2
BOSTON, MA 02115-5724
United States

Phone: 617-355-6011 | Fax: 617-730-0906
View Map External Link
Primary Practice Address 300 LONGWOOD AVE HUNNEWELL 2
BOSTON, MA 02115-5724
United States

Phone: 617-355-6011 | Fax: 617-730-0906
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other CT MEDICAID CT 003095537
Other AETNA MA 2074317
Other TUFTS MA 032626
MEDICAID NH 00001004
Other CIGNA MA 0451381-004
Other HARVARD PILGRIM MA AA8311
Other BMC HEALTHNET MA 000000009261
MEDICAID MA 2055279
Other BLUE CROSS MA M08553
Other RHODE ISLAND MEDICAID RI RS16279
MEDICAID NY 1148489
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207T00000X - Neurological Surgery MA 32626