Individual
MISS EMILY M SCAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 W 11TH ST, 2ND FLOOR, ERIE, PA 16501-1758
(814) 452-2218
(814) 455-2925
Mailing address
240 W 11TH ST, 2ND FLOOR, ERIE, PA 16501-1758
(814) 452-2218
(814) 455-2925
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053545
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00670434
RAILROAD MEDICARE
—
Enumeration date
09/24/2008
Last updated
12/01/2010
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