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NPI Code Detail

MEDICARE: SCOTT SEGEL

MEDICARE: SCOTT SEGEL
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianMD467093PA

General Provider Information

NPI Number : 1063416535
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT SEGEL
Provider Business Mailing Address
First Line : 1201 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1907
Country : US
Telephone Number : 570-320-7848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/30/2021

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Directions to “ SCOTT SEGEL ” Practice Location

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