Provider Demographics
NPI:1023055647
Name:SCARLETT, WILLIAM L (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:SCARLETT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1648 HUNTINGDON PIKE
Mailing Address - Street 2:MEDICAL STAFF OFFICE FIRST FLOOR
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8001
Mailing Address - Country:US
Mailing Address - Phone:215-938-3450
Mailing Address - Fax:215-938-3829
Practice Address - Street 1:3300 TILLMAN DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2071
Practice Address - Country:US
Practice Address - Phone:215-447-8054
Practice Address - Fax:215-447-8094
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2021-05-14
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Provider Licenses
StateLicense IDTaxonomies
PAOS010323L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI68942Medicare UPIN