Provider Demographics
NPI:1437128048
Name:SCOTT, PAMELA P (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:P
Last Name:SCOTT
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 1:915 OLD FERN HILL RD
Mailing Address - Street 2:BUILDING B, SUITE 201
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4269
Mailing Address - Country:US
Mailing Address - Phone:610-436-6696
Mailing Address - Fax:610-430-6023
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:BUILDING B, SUITE 201
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4269
Practice Address - Country:US
Practice Address - Phone:610-436-6696
Practice Address - Fax:610-430-6023
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021366E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008030150004Medicaid
PA118011M10Medicare ID - Type Unspecified
PA0008030150004Medicaid