Individual
BETH AMY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 SPRUCE STREET, 2 SCHIEDT, PHILADELPHIA, PA 19107
(215) 829-6079
(215) 829-7482
Mailing address
800 SPRUCE STREET, 2 SCHIEDT, PHILADELPHIA, PA 19107
(215) 829-6079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MB04590300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
OS005346L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016518850007
—
PA
Enumeration date
06/22/2006
Last updated
12/19/2012
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