Provider Demographics
NPI:1700931201
Name:SCRIMA, ANTHONY EDMUND JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EDMUND
Last Name:SCRIMA
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-1527
Mailing Address - Country:US
Mailing Address - Phone:617-913-3256
Mailing Address - Fax:
Practice Address - Street 1:16 LARK AVE
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-4261
Practice Address - Country:US
Practice Address - Phone:617-913-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3094111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor