Provider Demographics
NPI:1346332020
Name:POTTSTOWN SURGICAL ASSOCIATES, LTD
Entity Type:Organization
Organization Name:POTTSTOWN SURGICAL ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:610-326-8400
Mailing Address - Street 1:1329 E HIGH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4949
Mailing Address - Country:US
Mailing Address - Phone:610-326-8400
Mailing Address - Fax:610-323-8215
Practice Address - Street 1:1329 E HIGH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4949
Practice Address - Country:US
Practice Address - Phone:610-326-8400
Practice Address - Fax:610-323-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty