Individual
MATTHEW SCOTT FACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-2170
(570) 271-6361
(570) 271-5785
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55402
CT
208600000X
Surgery Physician
MD.207139
LA
208600000X
Surgery Physician
MD462020
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD462020
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467747071
—
CT
05
—
1467747071
—
LA
Enumeration date
06/10/2011
Last updated
08/31/2020
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