Individual
SOUMYA ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3034 KNIGHTS RD, BENSALEM, PA 19020-2815
(215) 638-7400
Mailing address
9782 CLARK ST, PHILADELPHIA, PA 19115-2409
(215) 279-3607
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP016586
PA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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