Doctor Name: | TAMEKA M SCOTT |
NPI Number: | 1396016234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 208D00000X |
Business Practice Address: | 1 Medical Center Dr Stratford, NJ - 080841500 |
Business Phone Number: | 8565666708 |
Business Fax Number: | |
Mailing Address: | 401 East Atlantic Avenue, Apartment 10a STRATFORD |
State: | NJ |
Postal Code: | 08084 |
Phone Number: | 5855202545 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 208D00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |