Organization
JORDAN E. SCOTT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M FORTIN (SECRETARY)
(978) 537-4805
Entity
Organization
Contact information
Practice address
50 MEMORIAL DR, SUITE 206, LEOMINSTER, MA 01453-2238
(978) 537-4805
Mailing address
50 MEMORIAL DR, SUITE 206, LEOMINSTER, MA 01453-2238
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
214922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119552
—
MA
Enumeration date
01/09/2007
Last updated
08/22/2020
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