Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | C10002203 | DE |
NPI | 1609968437 |
---|---|
Provider Name | Dr. Charles I. Scott JR. |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 10/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001199237 | (05) | PA |
100254351 | (05) | NE |
1440019 | (05) | NY |
5033802 | (05) | NJ |
6064175 | (05) | VA |
7611194 | (05) | NC |
7703112 | (05) | MD |
8514631 | (05) | MN |
CS32971 | (05) | RI |
F04116 | (02) |