Provider Demographics
NPI:1588130322
Name:SCZERZENIE, ELIZABETH SARA (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SARA
Last Name:SCZERZENIE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CENTRAL ST STE 201A
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3544
Mailing Address - Country:US
Mailing Address - Phone:781-349-6625
Mailing Address - Fax:
Practice Address - Street 1:121 CENTRAL ST STE 201A
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3544
Practice Address - Country:US
Practice Address - Phone:781-349-6625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor