Provider Demographics
NPI:1427020643
Name:SCRENCI, GIUSEPPE ANTONIO (MS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:GIUSEPPE
Middle Name:ANTONIO
Last Name:SCRENCI
Suffix:
Gender:M
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 WALNUT ST FL 17
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5176
Mailing Address - Country:US
Mailing Address - Phone:215-829-3523
Mailing Address - Fax:215-829-6023
Practice Address - Street 1:800 WALNUT ST FL 17
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5176
Practice Address - Country:US
Practice Address - Phone:215-829-3523
Practice Address - Fax:215-829-6023
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA-001779-L363AM0700X, 363AM0700X
173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ59387Medicare UPIN
PA286381Medicare PIN
PA121575Medicare PIN