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NPI Code Detail

MEDICARE: MR. PAUL J SCOGLIO MSW

MEDICARE:  MR. PAUL J SCOGLIO  MSW
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
11041C0700XClinical Social Worker106121MA

General Provider Information

NPI Number : 1619969284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL J SCOGLIO MSW
Provider Business Mailing Address
First Line : 98 ELM ST
Second Line :
City : GEORGETOWN
State : MA
Zip : 01833-2517
Country : US
Telephone Number : 978-921-8400
Fax Number :
Provider Business Practice Location Address
First Line : 900 CUMMINGS CTR
Second Line : SUITE 417U
City : BEVERLY
State : MA
Zip : 01915-6198
Country : US
Telephone Number : 978-921-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/08/2007

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Directions to “ MR. PAUL J SCOGLIO MSW” Practice Location

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