Individual
DR. JOHN P SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8815 GERMANTOWN AVE, SUITE 11, PHILADELPHIA, PA 19118-2722
(215) 247-0879
(214) 247-7014
Mailing address
8815 GERMANTOWN AVE, SUITE 11, PHILADELPHIA, PA 19118-2722
(215) 247-0879
(214) 247-7014
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002365L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008700540002
—
PA
Enumeration date
06/29/2006
Last updated
01/29/2013
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