Provider Demographics
NPI:1912102476
Name:SCIOLI, ADAM DREW (DO)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DREW
Last Name:SCIOLI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0150
Mailing Address - Country:US
Mailing Address - Phone:800-678-2332
Mailing Address - Fax:877-991-9344
Practice Address - Street 1:243 N GALEN HALL RD
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-9331
Practice Address - Country:US
Practice Address - Phone:800-678-2332
Practice Address - Fax:877-991-9344
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0132372084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine