Individual
DR. MARY ELIZABETH SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 W BOYLSTON DR, WORCESTER, MA 01606-2726
(508) 853-6662
(508) 853-6860
Mailing address
140 W BOYLSTON DR, WORCESTER, MA 01606-2726
(508) 853-6662
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
55685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030598
—
MA
Enumeration date
03/30/2006
Last updated
05/02/2008
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