Individual
ALEXA ROSE BURYCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(251) 707-2111
(215) 707-2324
Mailing address
3500 N BROAD ST. ROOM 001A, PHILADELPHIA, PA 19140-4106
(215) 926-9022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063924
PA
Other
Enumeration date
09/26/2022
Last updated
10/19/2022
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