Individual
DR. ALEXA PROFOZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
2113 E CUMBERLAND ST, PHILADELPHIA, PA 19125-1717
(724) 799-6080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT227854
PA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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