Individual
ALEXANDER THOMAS MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 839 WEST GATES BUILDING, PHILADELPHIA, PA 19104
(215) 662-8777
Mailing address
3400 SPRUCE ST, 839 WEST GATES BUILDING, PHILADELPHIA, PA 19104
(215) 662-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD472348
PA
Other
Enumeration date
04/14/2016
Last updated
11/02/2021
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