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Individual

SCOTT H BRITZ-CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. PHD

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-7237
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
156173
MA
207UN0902X
Nuclear Imaging & Therapy Physician
156173
MA
2085B0100X
Body Imaging Physician
156173
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110062482A
MA
01
156173
TUFTS HEALTH CARE
MA
05
3207382
MA
01
J22256
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/28/2006
Last updated
05/26/2021
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