Individual
BRIAN DAVID MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 MADISON AVE, SCRANTON, PA 18510-1609
(570) 343-1115
(570) 343-5865
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-073573L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD073573L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01844694
—
PA
Enumeration date
09/21/2005
Last updated
08/24/2021
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