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Individual

DR. L SCOTT CERICOLA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
508 PEMBROKE RD, BETHLEHEM, PA 18018-3102
(610) 866-0543
(610) 867-9781
Mailing address
508 PEMBROKE RD, BETHLEHEM, PA 18018-3102
(610) 866-0543
(610) 867-9781

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002489L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01718201
CAPITAL BLUE CROSS
PA
01
197001
HIGHMARK BS
PA
05
4585839
PA
01
P2504816
OXFORD
Enumeration date
04/04/2006
Last updated
07/09/2007
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