Scudera, Peter L

Scudera, Peter L is an individual health care provider with primary practice located at 3700 Joseph Siewick Dr Suite 308, Fairfax VA 22033-1744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Scudera, Peter L can be contacted via phone (703) 698-8960.

Contact Information

Primary practice address
3700 Joseph Siewick Dr Suite 308 Fairfax VA 22033-1744
Phone: (703) 698-8960
Fax: (647) 646-4744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101047453 Virginia

Profile Details

NPI number 1063488575
LBN Legal business name Scudera, Peter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated May 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063488575 NPPES
Other 334231 ANTHEM BCBS
Other 334232 ANTHEM BCBS
Other 178708 ANTHEM BCBS
Other 187600 ANTHEM BCBS
Other 452928 ANTHEM BCBS
MEDICAID 6031102 ANTHEM BCBS
Other 341905 ANTHEM BCBS
Other 100013570 ANTHEM BCBS
Other 79160011 ANTHEM BCBS

Popular Providers