Provider Demographics
NPI:1578629044
Name:SCERBO, VICTORIA ANGELA (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANGELA
Last Name:SCERBO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4329
Mailing Address - Country:US
Mailing Address - Phone:508-830-0690
Mailing Address - Fax:508-830-9428
Practice Address - Street 1:345 COURT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4329
Practice Address - Country:US
Practice Address - Phone:508-830-0690
Practice Address - Fax:508-830-9428
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASCY36096OtherBLUE CROSS BLUE SHIELD
MAY36096Medicare ID - Type UnspecifiedCHIROPRACTIC