REBECCA SCULLY NPI 1104260900

NPI Information

NPI: 1104260900
Provider Name: REBECCA SCULLY
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
75 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 335-8204
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Rebecca Scully is a vascular surgery surgery in Boston, MA with 11 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Rebecca Scully NPI is 1104260900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:2013

The provider's business location address is:

75 FRANCIS ST
BOSTON, MA
ZIP 02115-110
Phone: (617) 335-8204

The NPI 1104260900 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 6/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	2086S0129X	NEW HAMPSHIRE	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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