Provider Demographics
NPI:1083848741
Name:PERKINS, SCOTT E (VMD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
Last Name:PERKINS
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-2045
Mailing Address - Country:US
Mailing Address - Phone:617-947-5770
Mailing Address - Fax:
Practice Address - Street 1:609 EAST ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-3024
Practice Address - Country:US
Practice Address - Phone:617-947-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4074174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian