Individual
ALEXANDER QUEIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
117 S 11TH ST, PHILADELPHIA, PA 19107-4949
(215) 503-3876
(215) 955-2519
Mailing address
117 S 11TH ST, PHILADELPHIA, PA 19107-4949
(215) 503-3876
(215) 955-2519
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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