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NPI Code Detail

MEDICARE: CARLY SCATTON D.O.

MEDICARE: CARLY SCATTON 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
12084N0400XNeurology PhysicianOS018306PA

General Provider Information

NPI Number : 1801158464
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY SCATTON D.O.
Provider Business Mailing Address
First Line : PO BOX 829641
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-9641
Country : US
Telephone Number : 215-933-0069
Fax Number : 215-933-3672
Provider Business Practice Location Address
First Line : 847 EASTON RD STE 2700
Second Line :
City : WARRINGTON
State : PA
Zip : 18976-2909
Country : US
Telephone Number : 215-345-0105
Fax Number : 215-345-0562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 12/01/2022

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