Individual
DR. DOUGLAS W SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, DEPARTMENT OF EMERGENCY MEDICINE, WORCESTER, MA 01608-1216
(508) 363-6076
Mailing address
123 SUMMER ST, SAINT VINCENT HOSP - DEPT OF EMERGENCY MEDICINE, WORCESTER, MA 01608-1216
(508) 363-6025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116336
—
MA
Enumeration date
12/07/2005
Last updated
07/08/2007
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