Individual
DR. ALEXANDER MAMOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-8044
(717) 531-5596
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
8974
NH
2085N0700X
Neuroradiology Physician
Primary
MD032261E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE2778
—
VT
05
—
101934687
—
PA
05
—
99002778
—
NH
Enumeration date
07/19/2006
Last updated
09/06/2018
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