Organization
MEDFORD OBGYN ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSARIO A. SCANDURA M.D. (PLAN ADMINISTRATOR)
(781) 729-9456
Entity
Organization
Contact information
Practice address
390 HIGHLAND AVE, WINCHESTER, MA 01890-3147
(781) 729-9456
(781) 729-9456
Mailing address
390 HIGHLAND AVE, WINCHESTER, MA 01890-3147
(781) 729-9456
(781) 729-9456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24674
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130724
PERSONAL NUMBERS
MA
05
—
9709355
—
MA
Enumeration date
01/01/2007
Last updated
06/20/2008
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