Individual provider · Type 1 NPI
Dewitt Randolph Scott, RPA
Medical Physician Assistant · Suffern, NY
NPI number
1528217767
Active
Practice location
5A Ethan Allen Dr
Suffern, NY 10901-1802
Mailing address
8931 161st St
Jamaica, NY 11432-6102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 000779 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1528217767
Dewitt Randolph Scott, RPA's National Provider Identifier is 1528217767, issued on Sep 11, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Suffern, NY. The record was last updated on Sep 11, 2008.