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
Phone: (617) 632-9971
Fax: (617) 632-7977
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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