Individual
JOSEPHINE SCOTTODICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 796-6821
Mailing address
305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118-1962
(413) 733-4101
(413) 796-6821
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54977
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001857
—
MA
Enumeration date
04/14/2006
Last updated
05/09/2011
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