Provider Demographics
NPI:1346585494
Name:EARL, AMY (DVM)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:EARL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CORNERSTONE SQ STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-1467
Mailing Address - Country:US
Mailing Address - Phone:978-577-6525
Mailing Address - Fax:978-923-8111
Practice Address - Street 1:11 CORNERSTONE SQ STE 100
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-1467
Practice Address - Country:US
Practice Address - Phone:978-577-6525
Practice Address - Fax:978-923-8111
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6704174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian