Provider Demographics
NPI:1518693472
Name:MELCHIORRE, ALEXANDRA JOANN
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JOANN
Last Name:MELCHIORRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 NAPOLI WAY
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-5564
Mailing Address - Country:US
Mailing Address - Phone:267-760-3457
Mailing Address - Fax:
Practice Address - Street 1:7 S OHIO AVE STE 1400
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6711
Practice Address - Country:US
Practice Address - Phone:609-572-8600
Practice Address - Fax:609-572-8667
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2024-05-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant