Individual
SCOTT TRAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 FRANKFORD AVE, PHILA, PA 19124-3602
(215) 744-1302
Mailing address
432 N 6TH ST, PHILA, PA 19123-4004
(215) 925-2400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD062240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673739
—
PA
Enumeration date
06/07/2006
Last updated
02/29/2012
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