Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | RN599171 | PA |
NPI | 1932190014 |
---|---|
Provider Name | Mr. Scott Michael Demasi |
First Address | Lehighton, PA 18235-1432 |
Second Address | Lehighton, PA 18235-1432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2005 |
Last Update Date | 21/06/2021 |