Individual
ALEXANDRA TAYLOR PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2360 MARYLAND RD, WILLOW GROVE, PA 19090-1709
(215) 657-6776
(215) 947-0590
Mailing address
2360 MARYLAND RD, WILLOW GROVE, PA 19090-1709
(215) 657-6776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA006353
PA
363AM0700X
Medical Physician Assistant
Primary
MA064284
PA
363AM0700X
Medical Physician Assistant
OA006353
PA
Other
Enumeration date
01/19/2023
Last updated
04/22/2025
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