Provider Demographics
NPI:1902844681
Name:SCOLL, JOSHUA DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:SCOLL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:911 BARNSWALLOW LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-2001
Mailing Address - Country:US
Mailing Address - Phone:215-938-6221
Mailing Address - Fax:215-245-4011
Practice Address - Street 1:1950 STREET RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3755
Practice Address - Country:US
Practice Address - Phone:215-245-0873
Practice Address - Fax:215-245-4011
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004133-L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT28596Medicare UPIN