Individual
DR. PETER L SCUDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 308, FAIRFAX, VA 22033-1744
(703) 698-8960
(647) 646-4744
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 308, FAIRFAX, VA 22033-1744
(703) 698-8960
(703) 716-8703
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101047453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100013570
RAILROAD MEDICARE
VA
01
—
178708
ANTHEM BCBS
—
01
—
187600
ANTHEM BCBS
—
01
—
334231
ANTHEM BCBS
—
01
—
334232
ANTHEM BCBS
—
01
—
341905
ANTHEM BCBS
—
01
—
452928
ANTHEM BCBS
—
05
—
6031102
—
VA
01
—
79160011
CAREFIRST BCBS
—
Enumeration date
02/24/2006
Last updated
05/07/2019
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