Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT206402 | PA |
Y | 2080P0210X | Pediatric Nephrologist | MT206402 | PA |
NPI | 1801208228 |
---|---|
Provider Name | Rebecca Reichel Scobell |
First Address | Wynnewood, PA 19096-3532 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2014 |
Last Update Date | 14/06/2018 |