Individual
ALEX PROEKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, 680 DULLES, PHILADELPHIA, PA 19104-4238
(215) 662-3763
Mailing address
3400 SPRUCE ST, 680 DULLES, PHILADELPHIA, PA 19104-4238
(215) 662-3763
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD454607
PA
Other
Enumeration date
02/02/2009
Last updated
05/26/2015
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