Provider Demographics
NPI:1326093733
Name:SCOVELL, SHERRY D (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:D
Last Name:SCOVELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8 CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-1919
Mailing Address - Country:US
Mailing Address - Phone:617-543-9955
Mailing Address - Fax:
Practice Address - Street 1:15 PARKMAN STREET WAC 440
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL DIVISION OF VASCULAR SUR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-8701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2157412086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery