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Individual

DR. JOSEPH M SCORNAVACCHI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 S 7TH AVE, SUITE 3220, WEST READING, PA 19611-1410
(610) 376-8671
(610) 376-6387
Mailing address
301 S 7TH AVE, SUITE 3220, WEST READING, PA 19611-1410
(610) 376-8671
(610) 376-6387

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD015457E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006516930002
PA
01
01366001
CAPITAL BLUE CROSS
PA
01
SC13042
BLUE SHIELD
PA
Enumeration date
08/11/2005
Last updated
09/11/2014
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