Individual
ALEKSANDER DEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3376
(215) 707-9510
Mailing address
3500 N. BROAD STREET, ROOM 001A, PHILADELPHIA, PA 19140-4106
(215) 926-9022
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063929
PA
Other
Enumeration date
09/22/2022
Last updated
10/17/2022
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