Peter L Scudera in Fairfax - Gastroenterology
Peter L Scudera - NPI 1063488575
Peter L Scudera is a Gastroenterology in Fairfax, Virginia. Peter L Scudera practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Peter L Scudera is 1063488575. The last update date is 2019-05-07.
Peter L Scudera's current location address is 3700 Joseph Siewick Dr, Fairfax, Virginia. You can contact this provider via phone number 7036988960 and fax number 7037168703. The mailing address for Peter L Scudera is 3700 Joseph Siewick Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter L Scudera |
|---|---|
| Address | 3700 Joseph Siewick Dr, Fairfax, Virginia |
| Phone Number | 7036988960 |
| Fax Number | 7037168703 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063488575 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2019-05-07 |
Provider Mailing Address Detail
| Address | 3700 Joseph Siewick Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220331744 |
| Phone Number | 7036988960 |
| Fax Number | 7037168703 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 101047453 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 334231 | ANTHEM BCBS | ||
| 334232 | ANTHEM BCBS | ||
| 178708 | ANTHEM BCBS | ||
| 187600 | ANTHEM BCBS | ||
| 452928 | ANTHEM BCBS | ||
| 6031102 | VA | -- | |
| 341905 | ANTHEM BCBS | ||
| 100013570 | VA | RAILROAD MEDICARE | |
| 79160011 | CAREFIRST BCBS |
Post Comment/ Review Below
What is the Peter L Scudera's 1063488575?
The Peter L Scudera's NPI (National Provider Identifier) Number is 1063488575. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Peter L Scudera's physical address?
The Peter L Scudera is physically located at 3700 Joseph Siewick Dr, in the city of Fairfax, VA, with the postal code 220331744.
What is Peter L Scudera's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter L Scudera is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
On what date was the 1063488575 assigned to Peter L Scudera?
The Peter L Scudera was issued its 1063488575 on 2006-02-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Peter L Scudera, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter L Scudera, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-05-07.