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C. Scott Koenig
Gynecology Physician in Southbridge, Massachusetts
NPI 1295986412

C. Scott Koenig is a Gynecology Physician based in Southbridge, MA and is specialized in Gynecology. C. Scott Koenig practices in Southbridge, MA. The NPI Number for C. Scott Koenig is 1295986412 and holds a License No. 72556 (Massachusetts).

The current practice location address for C. Scott Koenig is 79 Sayles St, Southbridge, MA and can be reached out via phone at 508-764-3200 and via fax at 508-764-9600.

Location: 79 Sayles St, Southbridge, MA, 01550-1729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295986412
Provider Name
C. Scott Koenig
Credential
Provider Entity Type
Organization
Address
79 Sayles St, Southbridge, MA, 01550-1729
Phone Number
508-764-3200
Fax Number
508-764-9600
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3066100 05 MA
institution
Provider Business Practice Location Address Details
Address
79 Sayles St
City
Southbridge
State
Massachusetts
Zip
01550-1729
Phone Number
508-764-3200
Fax Number
508-764-9600
person
Provider Business Mailing Address Details
Address
79 Sayles St
City
Southbridge
State
Massachusetts
Zip
01550-1729
Phone Number
508-764-3200
Fax Number
508-764-9600
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
72556 (Massachusetts)
Definition
Definition to come...
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