Provider Demographics
NPI:1306195490
Name:SCOLAMACCHIA, PAULA CATHERINE (PA)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:CATHERINE
Last Name:SCOLAMACCHIA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:CATHERINE
Other - Last Name:SZABO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:1 HOSPITAL DR STE 306
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-524-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:210 JPM RD STE 300
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9367
Practice Address - Country:US
Practice Address - Phone:570-524-4446
Practice Address - Fax:570-768-4623
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical