Individual
ALEXANDER TARNOPOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14200 BUSTLETON AVE, SUITE 4, PHILADELPHIA, PA 19116-1186
(215) 671-0900
(215) 671-8114
Mailing address
9963 WINGTIP RD, PHILADELPHIA, PA 19115-1708
(215) 533-4906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010564L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018756180002
—
PA
Enumeration date
04/26/2007
Last updated
07/08/2007
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