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NPI Code Detail

MEDICARE: DR. SCOTT DAVID HARRIS MD

MEDICARE: DR. SCOTT DAVID HARRIS 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
1207R00000XInternal Medicine Physician53614MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871581694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT DAVID HARRIS MD
Provider Business Mailing Address
First Line : 1340 BOYLSTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02215-4302
Country : US
Telephone Number : 617-247-7555
Fax Number : 617-421-9871
Provider Business Practice Location Address
First Line : 1340 BOYLSTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02215-4302
Country : US
Telephone Number : 617-247-7555
Fax Number : 617-421-9871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 09/17/2024

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