Provider Demographics
NPI:1316901481
Name:SCOGNA, JOSEPH E (MD, PHD, FACS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:SCOGNA
Suffix:
Gender:M
Credentials:MD, PHD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:ST MARY MOB STE 210
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1219
Mailing Address - Country:US
Mailing Address - Phone:215-750-1400
Mailing Address - Fax:215-750-9034
Practice Address - Street 1:1205 LANGHORNE NEWTOWN RD
Practice Address - Street 2:ST MARY MOB STE 210
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1219
Practice Address - Country:US
Practice Address - Phone:215-750-1400
Practice Address - Fax:215-750-9034
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018979E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000049008OtherHIGHMARK-GROUP
PA0045179000OtherIBC-INDIVIDUAL
PA0045170000OtherIBC-GROUP
PA111463OtherAETNA
PA000412172OtherHIGHMARK-INDIVIDUAL
PAB14379Medicare UPIN
PA111463OtherAETNA