Individual
CHARLES JOSEPH SCROBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 SOUTH WYOMING AVENUE SUITE 2, EDWARDSVILLE, PA 18704
(570) 824-2800
(570) 718-1481
Mailing address
75 SOUTH WYOMING AVENUE SUITE 2, EDWARDSVILLE, PA 18704
(570) 824-2800
(570) 718-1481
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD-040056-L
PA
207RG0100X
Gastroenterology Physician
MD040056L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001230177
—
PA
Enumeration date
09/26/2006
Last updated
12/20/2011
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