Individual
DR. MARY K SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
24 NEWTON ST, SOUTHBORO, MA 01772
(508) 460-3150
(508) 460-3061
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 481-5500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
00331
RI
152W00000X
Optometrist
Primary
2230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354007
—
MA
01
—
763274
TUFTS
—
Enumeration date
07/11/2006
Last updated
03/18/2015
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