Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 130980 | OH |
Y | 207ND0101X | MOHS-Micrographic Surgeon | D87221 | MD |
NPI | 1174960306 |
---|---|
Provider Name | Dr. Jeffrey F. Scott |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287-0006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2013 |
Last Update Date | 07/10/2019 |