Individual
DR. HENRY SCOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 BERKSHIRE BLVD., SUITE 170, WYOMISSING, PA 19610-1233
(610) 478-1737
(610) 478-1407
Mailing address
1150 BERKSHIRE BLVD., SUITE 170, WYOMISSING, PA 19610-1233
(610) 478-1737
(610) 478-1407
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD027501E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061713000
KEYSTONE HEALTH PLAN EAST
PA
01
—
00617130000
INDEPENDENCE BLUE CROSS
PA
01
—
01157101
CAPITAL BLUE CROSS
PA
01
—
116629
PA BLUE SHIELD
PA
01
—
4280136
AETNA
PA
01
—
MOS080
OXFORD HEALTH PLAN
PA
Enumeration date
03/23/2006
Last updated
10/31/2013
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