Healthcare Provider Details

I. General information

NPI: 1164118360
Provider Name (Legal Business Name): ERIN MCDEVITT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SHATTUCK ST STE 6
BOSTON MA
02115-6030
US

IV. Provider business mailing address

10 SHATTUCK ST STE 6
BOSTON MA
02115-6030
US

V. Phone/Fax

Practice location:
  • Phone: 617-432-2136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number1028547
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1028547
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: