Provider Demographics
NPI:1609030758
Name:HOLLANDER, SCOTT CRAIG (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CRAIG
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4622 BLACK HORSE PIKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-3214
Mailing Address - Country:US
Mailing Address - Phone:609-829-3285
Mailing Address - Fax:
Practice Address - Street 1:4622 BLACK HORSE PIKE
Practice Address - Street 2:SUITE 102
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-3214
Practice Address - Country:US
Practice Address - Phone:609-829-3285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0459972085R0202X, 2085R0204X
NJ25MB090852002085R0204X
PAOS0158912085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology