Healthcare Provider Details

I. General information

NPI: 1770515520
Provider Name (Legal Business Name): SCOTT E SEXTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 SOUTH CEDAR CREST BLVD SUITE 110
ALLENTOWN PA
18103
US

IV. Provider business mailing address

1250 SOUTH CEDAR CREST BLVD SUITE 110
ALLENTOWN PA
18103
US

V. Phone/Fax

Practice location:
  • Phone: 610-435-1003
  • Fax: 610-435-3184
Mailing address:
  • Phone: 610-435-1003
  • Fax: 610-435-3184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD431498
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD431498
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: