Individual
ALEXANDER KANDABAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PLAZA DR, SUITE 240, BELLE VERNON, PA 15012-4019
(724) 379-5816
(724) 379-5874
Mailing address
800 PLAZA DR, SUITE 240, BELLE VERNON, PA 15012-4019
(724) 379-5816
(724) 379-5874
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD030967E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011281000002
—
PA
Enumeration date
08/01/2005
Last updated
09/25/2013
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