Provider Demographics
NPI:1699068130
Name:SCORZA, ANDA BRIDGET TUNCAY (DO)
Entity type:Individual
Prefix:DR
First Name:ANDA
Middle Name:BRIDGET TUNCAY
Last Name:SCORZA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANDA
Other - Middle Name:BRIDGET
Other - Last Name:TUNCAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3 NEENAH CTR
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3070
Mailing Address - Country:US
Mailing Address - Phone:920-735-7645
Mailing Address - Fax:
Practice Address - Street 1:1818 N MEADE ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-3454
Practice Address - Country:US
Practice Address - Phone:920-735-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019202207R00000X, 208M00000X
TXQ8144207R00000X
WI1723-321208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine