Scanlan, Karen Dietrich

Scanlan, Karen Dietrich is an individual health care provider with primary practice located at 825 Washington St Suite 340, Norwood MA 02062-3441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Scanlan, Karen Dietrich can be contacted via phone (781) 762-5586.

Contact Information

Primary practice address
825 Washington St Suite 340 Norwood MA 02062-3441
Fax: (781) 762-0634
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 81177 Massachusetts

Profile Details

NPI number 1639176662
LBN Legal business name Scanlan, Karen Dietrich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jun 16th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639176662 NPPES
Massachusetts MEDICAID 3140091

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