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Individual

CARL ALEC ALSUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 SANSOM ST STE 239, THOMPSON BUILDING, PHILADELPHIA, PA 19107-5002
(215) 955-9579
Mailing address
1020 SANSOM ST STE 239, THOMPSON BULDING, PHILADELPHIA, PA 19107-5002

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD455222
PA

Other

Enumeration date
06/30/2011
Last updated
08/21/2015
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