Individual
MICHAEL A SCUTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PEACH ST, SUITE 300, ERIE, PA 16507-1411
(814) 459-1851
(814) 452-0026
Mailing address
100 PEACH ST, SUITE 300, ERIE, PA 16507-1411
(814) 459-1851
(814) 452-0026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD038903E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011478200010
—
PA
01
—
148202
HIGHMARK BC/BS
PA
01
—
160024710
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
05/04/2023
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