Individual
SCOTT T VANDUZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5141 OAKLAND RD, SLATINGTON, PA 18080-4143
(484) 719-7426
Mailing address
5141 OAKLAND RD, SLATINGTON, PA 18080-4143
(484) 719-7426
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD066853L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017194260004
—
PA
Enumeration date
05/16/2006
Last updated
08/15/2019
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