Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | OS010323L | PA |
Y | 208600000X | Surgeon | OS010323L | PA |
NPI | 1023055647 |
---|---|
Provider Name | William L Scarlett |
First Address | Meadowbrook, PA 19046-8001 |
Second Address | Bensalem, PA 19020-2071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I68942 | (02) | PA |