Individual
PENELOPE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, SUITE 512, BALTIMORE, MD 21239
(443) 444-4835
(443) 444-4894
Mailing address
400 REDLAND COURT, SUITE 208, OWINGS MILLS, MD 21117-3292
(410) 494-7921
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0015135
MD
207RP1001X
Pulmonary Disease Physician
Primary
D15135
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004
BC/BS
—
05
—
187661900
—
MD
01
—
290008369
RAILROAD MEDICARE
—
01
—
36144504
BC/BS
—
Enumeration date
07/13/2006
Last updated
08/28/2012
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