Provider Demographics
NPI:1033679519
Name:LIVINGSTON, SCOTT HUNTER (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:HUNTER
Last Name:LIVINGSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 CIVIC CENTER BLVD FL 6
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5162
Mailing Address - Country:US
Mailing Address - Phone:215-662-3957
Mailing Address - Fax:215-615-4111
Practice Address - Street 1:3400 CIVIC CENTER BLVD FL 6
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5162
Practice Address - Country:US
Practice Address - Phone:215-662-3957
Practice Address - Fax:215-615-4111
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program