Provider Demographics
NPI:1205866217
Name:SCARITO, ELIZABETH ALICE (MD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ALICE
Last Name:SCARITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 SECURITY DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4727
Mailing Address - Country:US
Mailing Address - Phone:717-741-5600
Mailing Address - Fax:717-741-6750
Practice Address - Street 1:1938 SECURITY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4727
Practice Address - Country:US
Practice Address - Phone:717-741-5600
Practice Address - Fax:717-741-6750
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056621L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD056621LOtherMEDICAL LICENSE NUMBER
PAG22816Medicare UPIN
PA729585EC4Medicare ID - Type Unspecified