Individual
ALEXIS STEPHANIE ZAVITSANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3397
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT202521
PA
207RR0500X
Rheumatology Physician
Primary
MD455428
PA
Other
Enumeration date
07/11/2012
Last updated
05/06/2021
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