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Individual

ALEXANDER MADEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
12 ST PAUL DR STE 101, CHAMBERSBURG, PA 17201-1035
(717) 217-6760
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS020200
PA
207Q00000X
Family Medicine Physician
OT017754
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103341230
PA
Enumeration date
05/02/2017
Last updated
06/21/2021
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