Individual
JEFFREY A. SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3291
(508) 481-3706
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3291
(508) 481-3706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74656
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
74656
MA
207RP1001X
Pulmonary Disease Physician
Primary
74656
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
#74656.
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052465A
—
MA
Enumeration date
07/26/2006
Last updated
03/19/2021
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