Individual
DR. ALEXANDRA MEDORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, 8 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-3228
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(440) 821-5835
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
MD481894
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD481894
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438168
—
OH
Enumeration date
03/26/2015
Last updated
09/12/2025
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