Individual
MR. SCOTT VINCENT SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 GERMANIA ST, UNIT 1, JAMAICA PLAIN, MA 02130-2342
(617) 777-0687
Mailing address
17 GERMANIA ST, UNIT 1, JAMAICA PLAIN, MA 02130-2342
(617) 777-0687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP 2434
MA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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