Individual
MARK SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6TH AVE & SPRUCE ST, WEST READING, PA 19611
(610) 988-8446
Mailing address
50 COMMERCE DROVE, WYOMISSING, PA 19610-3335
(610) 372-8044
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS004276L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000792673
—
PA
Enumeration date
06/13/2006
Last updated
03/27/2012
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