Individual
ALEXIS COULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
450 N 18TH ST APT 545, PHILADELPHIA, PA 19130-4192
(920) 889-1497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT227177
PA
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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