Individual
DR. SCOTT K. DESSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 4240, PHILADELPHIA, PA 19107-4824
(215) 955-8874
(215) 955-2340
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
(215) 955-1175
(215) 955-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD420102
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD-420102
PA
207RX0202X
Medical Oncology Physician
MD420102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025502
—
NJ
Enumeration date
07/26/2006
Last updated
11/05/2007
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