Individual
ARMANDO C SCIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
647 N BROAD STREET EXT STE 205, GROVE CITY, PA 16127-4604
(724) 450-7004
(724) 450-7013
Mailing address
647 N BROAD STREET EXT STE 205, GROVE CITY, PA 16127-4604
(724) 450-7004
(724) 450-7013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS009928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001924632
—
PA
01
—
11311733
CAQH
—
Enumeration date
05/23/2005
Last updated
10/08/2020
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