Individual
ALEXANDRA FLAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6820
(717) 531-4702
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
321064
NY
207N00000X
Dermatology Physician
MD459115
PA
207ND0900X
Dermatopathology Physician
Primary
321064
NY
207ZD0900X
Dermatopathology (Pathology) Physician
MD459115
PA
207ZP0101X
Anatomic Pathology Physician
MD459115
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033095820001
—
PA
01
—
582740
MEDICARE
PA
Enumeration date
03/23/2012
Last updated
12/19/2024
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