Provider Demographics
NPI:1447484696
Name:SCALERA, SUSHAMA AMRITA (MD)
Entity type:Individual
Prefix:DR
First Name:SUSHAMA
Middle Name:AMRITA
Last Name:SCALERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUSHAMA
Other - Middle Name:AMRITA
Other - Last Name:SAIJWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:85 GORE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1239
Mailing Address - Country:US
Mailing Address - Phone:609-851-7262
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-354-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-03
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254337207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine