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NPI Code Detail

MEDICARE: DR. SCOTT R. DOHENY MD, PHARM. D.

MEDICARE: DR. SCOTT R. DOHENY MD, PHARM. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician1021357MA
2183500000XPharmacist120990MN
3183500000XPharmacistPH234400MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558618660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT R. DOHENY MD, PHARM. D.
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVE
Second Line : FLR 2
City : BOSTON
State : MA
Zip : 02118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BOSTON MEDICAL CTR PL
Second Line :
City : BOSTON
State : MA
Zip : 02118-2908
Country : US
Telephone Number : 617-638-6950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2012
Last Update Date : 01/28/2026

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