Individual provider · Type 1 NPI
Tyler Isaac Scicchitano, PA-C
Medical Physician Assistant · Mahanoy City, PA
NPI number
1730738709
Active
Practice location
5 White Owl Ave
Mahanoy City, PA 17948-3000
Other practice locations
- 161 Cecil B Moore, Suite 204, Philadelphia, PA 19122-3243 · (215) 585-2144
- 801 West Bay Drive, Suite 408, Largo, FL 33770-3220 · (215) 585-2144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA060996 (PA) |
| Internal Medicine Physician | 207R00000X | MA060996 (PA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1730738709
Tyler Isaac Scicchitano, PA-C's National Provider Identifier is 1730738709, issued on Sep 11, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mahanoy City, PA. The record was last updated on Mar 16, 2023.