Individual
THOMAS E SCAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 LONGWOOD AVE STE 3, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACO, BOSTON, MA 02215-5395
(617) 632-7441
Mailing address
79 MAYO RD, WELLESLEY, MA 02482-1037
(617) 735-3260
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
78378
MA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
78378
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078378
TUFTS HEALTH PLAN
MA
05
—
3114767
—
MA
01
—
J30107
BLUE SHIELD
MA
Enumeration date
06/01/2006
Last updated
10/15/2013
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