Provider Demographics
NPI:1477519452
Name:SCOVILL, CURTIS NEAL (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:NEAL
Last Name:SCOVILL
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 1:255 W LANCASTER AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1763
Mailing Address - Country:US
Mailing Address - Phone:610-647-5544
Mailing Address - Fax:610-647-5545
Practice Address - Street 1:255 W LANCASTER AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19355
Practice Address - Country:US
Practice Address - Phone:610-647-5544
Practice Address - Fax:610-647-5545
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013982E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
507684OtherAETNA
138937OtherPERSONAL CHOICE
4325566003OtherCIGNA
0026153001OtherKEYSTONE
B38891Medicare UPIN
138937Medicare PIN