Individual
DR. SEAN FENTON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 HAVERFORD AVE, HEALTH CARE CENTER #4, PHILADELPHIA, PA 19104-1361
(215) 685-7600
(215) 386-4902
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD425202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014073880001
—
PA
Enumeration date
08/14/2006
Last updated
07/08/2007
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