Scully, Edward Harold

Scully, Edward Harold is an individual health care provider with primary practice located at 73D Winthrop Ave , Lawrence MA 01843-3716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Scully, Edward Harold can be contacted via phone (978) 686-3017.

Contact Information

Primary practice address
73D Winthrop Ave Lawrence MA 01843-3716
Fax: (978) 685-4280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12717 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 152641 Massachusetts

Profile Details

NPI number 1982676052
LBN Legal business name Scully, Edward Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Apr 6th, 2016 - about 8 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 1982676052 NPPES
New Hampshire MEDICAID 3072838

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