Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD029352E | PA |
NPI | 1003862624 |
---|---|
Provider Name | Dr. Scott Alan Slagel |
First Address | Philadelphia, PA 19191-1432 |
Second Address | Sellersville, PA 18960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C34084 | (02) |