Provider Demographics
NPI:1245119395
Name:ALEXANDER WELGE
Entity type:Organization
Organization Name:ALEXANDER WELGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:WELGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-232-8077
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-0078
Mailing Address - Country:US
Mailing Address - Phone:814-232-8077
Mailing Address - Fax:
Practice Address - Street 1:2313 EAST VENANGO ST
Practice Address - Street 2:STE 4B PMB 1048
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:814-259-5242
Practice Address - Fax:814-259-5243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty