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Individual

EDWARD HAROLD SCULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
73D WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 686-3017
(978) 685-4280
Mailing address
73D WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 686-3017
(978) 685-4280

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12717
NH
207Q00000X
Family Medicine Physician
Primary
152641
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3072838
NH
Enumeration date
02/03/2006
Last updated
04/06/2016
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