Healthcare Provider Details

I. General information

NPI: 1285257444
Provider Name (Legal Business Name): SHAYLA NICOLE MINTEER DURFEY MD, SCM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHAYLA N.M. DURFEY

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FOGG RD
S WEYMOUTH MA
02190-2432
US

IV. Provider business mailing address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 781-624-8000
  • Fax:
Mailing address:
  • Phone: 617-355-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number1026955
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: