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Individual

ALEXANDRA S BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 CHURCH RD, SUITE 300, ARDMORE, PA 19003-2316
(610) 896-8582
Mailing address
100 CHURCH RD, SUITE 300, ARDMORE, PA 19003-2316
(610) 896-8582

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD036127E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01091322
PA
Enumeration date
01/03/2007
Last updated
07/08/2007
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