Scammell, Thomas E
Scammell, Thomas E is an individual health care provider with primary practice located at 375 Longwood Ave Ste 3 Harvard Medical Faculty Physicians At Beth Israel Deaco, Boston MA 02215-5395. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Scammell, Thomas E can be contacted via phone (617) 632-7441.Contact Information
Primary practice address
375 Longwood Ave Ste 3 Harvard Medical Faculty Physicians At Beth Israel Deaco
Boston MA 02215-5395
Phone: (617) 632-7441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 78378 | Massachusetts |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 78378 | Massachusetts |
Profile Details
| NPI number | 1194762724 |
|---|---|
| LBN Legal business name | Scammell, Thomas E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 15th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194762724 | NPPES |
| Massachusetts | Other | J30107 | BLUE SHIELD |
| Massachusetts | Other | 078378 | BLUE SHIELD |
| Massachusetts | MEDICAID | 3114767 | BLUE SHIELD |
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