MEDICARE: DR. ALVAN SCOTT MCNEAL DO

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	207Q00000X	Family Medicine Physician	OS 006886 L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	80169797	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	609582	OTHER	PA	HIGHMARK
2	0432388000	OTHER	PA	INDEPENDENCE BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0124717408	OTHER	PA	AMERICHOICE
6	11494	OTHER	PA	BRAVO ELDER HEALTH
7	13361	OTHER	PA	HEALTH PARTNERS
8	30009751	OTHER	PA	KEYSTONE MERCY

General Provider Information

NPI Number	:	1083616882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVAN SCOTT MCNEAL DO

Provider Business Mailing Address
First Line	:	1412 FAIRMOUNT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2908
Country	:	US
Telephone Number	:	215-235-9600
Fax Number	:	215-232-4093

Provider Business Practice Location Address
First Line	:	1412 FAIRMOUNT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-2908
Country	:	US
Telephone Number	:	215-235-9600
Fax Number	:	215-232-4093

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	08/14/2015

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Directions to “ DR. ALVAN SCOTT MCNEAL DO” Practice Location

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