Individual
ALEXANDER ELLI NUIQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 RIVER AVENUE FL 2, WILLIAMSPORT, PA 17701-4818
(570) 326-4118
(570) 326-5533
Mailing address
7 DOCK HILL ROAD, MIDDLEBURG, PA 17845-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD482457
PA
Other
Enumeration date
05/08/2020
Last updated
08/22/2023
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