Provider Demographics
NPI:1871731026
Name:BUCKS COUNTY AESTHETIC CENTER, PC
Entity type:Organization
Organization Name:BUCKS COUNTY AESTHETIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LOWDEN
Authorized Official - Last Name:SCARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-693-1627
Mailing Address - Street 1:3300 TILLMAN DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2071
Mailing Address - Country:US
Mailing Address - Phone:215-447-8054
Mailing Address - Fax:215-447-8094
Practice Address - Street 1:3300 TILLMAN DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2071
Practice Address - Country:US
Practice Address - Phone:215-447-8054
Practice Address - Fax:215-447-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010323L208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI68942Medicare UPIN