Individual
DOMENICK P SCIARUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2363
(413) 582-2914
Mailing address
60 ROBERTS DR STE 313, NORTH ADAMS, MA 01247-3254
(413) 398-5509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63938
CT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
74916
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3329195
NORTHEAST HEALTH DIRECT
MA
01
—
074916
CONNECTICARE
MA
01
—
27760
HEALTH NEW ENGLAND
MA
01
—
30706
BMC
MD
01
—
347669
TUFTS
MA
01
—
6424873
CIGNA
MA
01
—
AA38230
HARVARD PILGRIM
MA
01
—
J13367
BCBSMA
MA
Enumeration date
10/05/2005
Last updated
01/15/2020
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