MEDICARE: SCOTT C EARLY MD

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
1	207Q00000X	Family Medicine Physician	77012	MA

General Provider Information

NPI Number	:	1043207327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT C EARLY MD

Provider Business Mailing Address
First Line	:	360 MERRIMACK ST STE 9
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1764
Country	:	US
Telephone Number	:	978-655-6652
Fax Number	:	978-984-7384

Provider Business Practice Location Address
First Line	:	360 MERRIMACK ST STE 9
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1764
Country	:	US
Telephone Number	:	978-655-6652
Fax Number	:	978-984-7384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	08/25/2022

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Directions to “ SCOTT C EARLY MD” Practice Location

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