Doctor Name: | MR. SCOTT STRAHLE |
NPI Number: | 1114220142 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | G.N.P. |
License Number: | SP010888 |
Business Practice Address: | 141 S Black Horse Pike Suite 104 Blackwood, NJ - 080122975 |
Business Phone Number: | 8562928216 |
Business Fax Number: | 8568483011 |
Mailing Address: | 141 S Black Horse Pike, Suite 104 BLACKWOOD |
State: | NJ |
Postal Code: | 080122975 |
Phone Number: | 8562928216 |
Fax Number: | 8568483011 |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | SP010888 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |