Provider Demographics
NPI:1568578003
Name:CALBOT SCZEPANSKI, CYNTHIA L (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:CALBOT SCZEPANSKI
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 1:443 GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1813
Mailing Address - Country:US
Mailing Address - Phone:484-342-3000
Mailing Address - Fax:484-342-3010
Practice Address - Street 1:443 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1813
Practice Address - Country:US
Practice Address - Phone:484-342-3000
Practice Address - Fax:484-342-3010
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029998E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F24770Medicare UPIN
PA080100451OtherTRAVELERS MEDICARE
PA0013917300002Medicaid
PA263451HK1Medicare PIN
F24770Medicare UPIN