MEDICARE: CHARLES J. SCAGLIOTTI, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD428579	PA
2	208600000X	Surgery Physician	MD032904L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02356100	OTHER	PA	KEYSTONE CENTRAL
2	1077454	OTHER	PA	FIRST HEALTH
3	1808787	OTHER	PA	BLUE SHIELD PERSONAL CHOI
4	2168732	OTHER	PA	AETNA USHC
5	127370	OTHER	PA	THREE RIVERS & MED PLUS
6	14339	OTHER	PA	GEISINGER
7	01004101	OTHER	PA	CAPITAL BLUE CROSS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	1526126	OTHER	PA	GATEWAY
10	0040083000	OTHER	PA	INDEPENDENCE BLUE CROSS
11	1057378001	OTHER	PA	CIGNA
12	1106985	OTHER	PA	AMERIHEALTH MERCY
13	19260	OTHER	PA	HEATLH ASSURANCE
14	2646498000	OTHER	PA	KEYSTONE EAST

General Provider Information

NPI Number	:	1487683751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES J. SCAGLIOTTI, MD

Provider Business Mailing Address
First Line	:	1210 S. CEDAR CREST BLVD.
Second Line	:	SUITE 3000
City	:	ALLENTOWN
State	:	PA
Zip	:	18103
Country	:	US
Telephone Number	:	610-770-3270
Fax Number	:	610-432-3249

Provider Business Practice Location Address
First Line	:	1210 S CEDAR CREST BLVD
Second Line	:	SUITE 3000
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-6229
Country	:	US
Telephone Number	:	610-770-3270
Fax Number	:	610-432-3249

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CHERYL A. MERCIER
Credential	:	CMA
Telephone Number	:	610-770-3270

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/22/2020

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