Individual
DR. SCOTT VICTOR WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-1480
(240) 964-1490
Mailing address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-1480
(240) 964-1490
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0062224
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016490810001
—
PA
01
—
002376161
MARYLAND PHYSICIANS CARE
—
05
—
0122100000
—
WA
01
—
203095881
TRICARE
—
05
—
941810501
—
MD
01
—
K906
CAREFIRST
MA
01
—
P00274052
RR MEDIARE
—
Enumeration date
04/03/2006
Last updated
11/23/2009
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