Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT A ELISOFON, MD
ActiveDR. SCOTT A ELISOFON, MD is a 2080T0004X healthcare provider located in BOSTON, Massachusetts. NPI 1114942190 is currently active in the NPPES registry. Verify at CMS.
2080T0004X · BOSTON, MA
Registration Details
- NPI Number
- 1114942190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.137836381047 yrs)
- Last Updated
- Aug 24, 2015
- Licenses
-
213587 (MA)213587 (MA)
Practice Information
- Address
-
300 LONGWOOD AVEHUNNEWELL GROUND, DIVISION OF GASTROENTEROLOGYBOSTON, MA, 021155724Browse MA providers · Browse ZIP 02115
- Phone
- 6173557964
- Primary Specialty
-
2080T0004X
2080T0004X
- Additional Specialty
- Pediatric Gastroenterology
Other 2080T0004X Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MAUREEN M JONAS | MD | 1609885417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.