MEDICARE: DR. SCOT DAVID PARIS M.D.

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	MD050115L	PA
2	208C00000X	Colon & Rectal Surgery Physician	MD050115L	PA

General Provider Information

NPI Number	:	1710960752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOT DAVID PARIS M.D.

Provider Business Mailing Address
First Line	:	1329 E HIGH ST
Second Line	:	SUITE 1
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-4949
Country	:	US
Telephone Number	:	610-326-8400
Fax Number	:	610-323-8215

Provider Business Practice Location Address
First Line	:	1329 E HIGH ST
Second Line	:	SUITE 1
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-4949
Country	:	US
Telephone Number	:	610-326-8400
Fax Number	:	610-323-8215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	02/23/2016

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