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NPI Code Detail

MEDICARE: DR. SHANNON J SCARRY MD

MEDICARE: DR. SHANNON J SCARRY 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
12084P0804XChild & Adolescent Psychiatry Physician57249MA

General Provider Information

NPI Number : 1265430912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON J SCARRY MD
Provider Business Mailing Address
First Line : 23 FOX CROSSING RD
Second Line :
City : BREWSTER
State : MA
Zip : 02631-1786
Country : US
Telephone Number : 508-896-3499
Fax Number :
Provider Business Practice Location Address
First Line : 27 PARK ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-5230
Country : US
Telephone Number : 508-862-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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Directions to “ DR. SHANNON J SCARRY MD” Practice Location

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