Individual
DR. DAVID A AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 S QUEEN ST, YORK, PA 17403-4637
(717) 843-6663
(717) 852-0670
Mailing address
1620 S QUEEN ST, YORK, PA 17403-4637
(717) 843-6663
(717) 852-0670
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD447274
PA
207KA0200X
Allergy Physician
25MA08321700
NJ
207RR0500X
Rheumatology Physician
4301035945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0635238
BLUE SHEILD OF MICHIGAN
MI
Enumeration date
06/26/2006
Last updated
11/08/2012
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