Provider Demographics
NPI:1083672661
Name:SCRANTON, RICHARD E (MD MPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:SCRANTON
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 TREMONT STREET
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DIVISION OF AGING
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120
Mailing Address - Country:US
Mailing Address - Phone:617-525-7631
Mailing Address - Fax:
Practice Address - Street 1:1620 TREMONT STREET
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DIVISION OF AGING
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120
Practice Address - Country:US
Practice Address - Phone:617-525-7631
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205363207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine