Provider Demographics
NPI:1447941778
Name:SERPICO, SCOTT PATRICK (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:PATRICK
Last Name:SERPICO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BERKELEY CT
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2643
Mailing Address - Country:US
Mailing Address - Phone:267-261-1552
Mailing Address - Fax:
Practice Address - Street 1:4199 CITY AVENUE
Practice Address - Street 2:SUITE 409
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131
Practice Address - Country:US
Practice Address - Phone:800-778-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program