MEDICARE: FILOMENA M SCOLA D.O.

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	207N00000X	Dermatology Physician	OS008813L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	070012942	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1034709	OTHER	PA	AETNA
2	1061635	OTHER	PA	KEYSTONE MERCY
3	0318277000	OTHER	PA	INDEPENDENCE BLUE CROSS
4	806135	OTHER	PA	HIGHMARK BLUE SHIELD
6	50018383	OTHER	PA	CAPITOL BLUE CROSS

General Provider Information

NPI Number	:	1780673913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FILOMENA M SCOLA D.O.

Provider Business Mailing Address
First Line	:	410 W LINFIELD TRAPPE RD
Second Line	:	240
City	:	LIMERICK
State	:	PA
Zip	:	19468-4295
Country	:	US
Telephone Number	:	610-495-6500
Fax Number	:	610-495-6556

Provider Business Practice Location Address
First Line	:	410 W LINFIELD TRAPPE RD
Second Line	:	240
City	:	LIMERICK
State	:	PA
Zip	:	19468-4295
Country	:	US
Telephone Number	:	610-495-6500
Fax Number	:	610-495-6556

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	07/21/2021

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Practice Location Address:

410 W LINFIELD TRAPPE RD STE 100
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19468-4295

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1114988037 — SUSAN E BITTENBENDER M.D.
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19468-4295

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LIMERICK, PA
19468-4295

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1215079330 — SOMERA ALI M.D.
Practice Location Address:

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Directions to “ FILOMENA M SCOLA D.O.” Practice Location

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