Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | OS008005L | PA |
N | 2080P0204X | Pediatric Emergency Doctor | 34007981 | OH |
NPI | 1306832118 |
---|---|
Provider Name | Philip Vincent Scribano |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 18/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2878083 | (05) | OH |
64063217 | (05) | KY |
F80582 | (02) |