Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD445967 | PA |
N | 207VX0000X | Obstetrician | 25MA06948700 | NJ |
NPI | 1245218163 |
---|---|
Provider Name | Diana L Scott |
First Address | Somerdale, NJ 08083-1345 |
Second Address | Somerdale, NJ 08083 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 09/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1029028750002 | (05) | PA |
1999465 | CIGNA PA (01) | PA |
2727175 | HIGHMARK BLUE SHIELD (01) | PA |
30202364 | KEYSTONE FIRST (01) | PA |
3888590000 | KEYSTONE IBC (01) | PA |
7772245 | AETNA (01) | PA |
8571503 | (05) | NJ |
H40502 | (02) | |
P01457109 | RAILROAD MEDICARE (01) | PA |