Schermerhorn, Marc L

Schermerhorn, Marc L is an individual health care provider with primary practice located at 110 Francis St 5B, Boston MA 02215-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Schermerhorn, Marc L can be contacted via phone (617) 632-9971.

Contact Information

Primary practice address
110 Francis St 5B Boston MA 02215-5501
Fax: (617) 632-7977
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 79009 Massachusetts

Profile Details

NPI number 1356391312
LBN Legal business name Schermerhorn, Marc L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated May 2nd, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356391312 NPPES
Massachusetts Other J27600 BCBS
Massachusetts MEDICAID 2061180 BCBS
Massachusetts Other 408458 BCBS
Massachusetts Other AA14470 BCBS

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