Provider Demographics
NPI:1427024165
Name:SCOTT DREIKER,MD, OB/GYB, PC
Entity Type:Organization
Organization Name:SCOTT DREIKER,MD, OB/GYB, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:DREIKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-447-8707
Mailing Address - Street 1:312 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-1859
Mailing Address - Country:US
Mailing Address - Phone:781-447-8707
Mailing Address - Fax:781-340-3782
Practice Address - Street 1:312 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-1859
Practice Address - Country:US
Practice Address - Phone:781-447-8707
Practice Address - Fax:781-340-3782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM19124OtherBC/BS
MAM19124OtherBC/BS