Individual
ALISON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MAINLINE MEDICAL GROUP, 857 MONTGOMERY AVENUE, NARBETH, PA 19072
(610) 664-2951
(610) 664-2131
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 926-9022
(215) 226-8286
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD056081-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102117408
—
PA
01
—
1855795
CIGNA PIN
PA
01
—
1957179
HBS
PA
01
—
2053189
UNITED HEALTHCARE
PA
01
—
2836592000
IBC/KHPE/PC
PA
01
—
3Y6260
HEALTH NET
PA
01
—
5552322
AETNA PIN
PA
01
—
597586
MEDICARE GROUP
PA
01
—
P00721294
RR MEDICARE
PA
Enumeration date
12/06/2006
Last updated
03/08/2024
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