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Individual

ALICE FLYNN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE STREET, 2 RAVDIN, PHILADELPHIA, PA 19104-4206
(215) 662-3606
(215) 349-5579
Mailing address
3400 SPRUCE STREET, 3 WEST GATES, PHILADELPHIA, PA 19104
(215) 662-3606
(215) 349-5579

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA11809700
NJ
2084N0400X
Neurology Physician
Primary
MD478909
PA
2084V0102X
Vascular Neurology Physician
25MA11809700
NJ
2084V0102X
Vascular Neurology Physician
MD478909
PA

Other

Enumeration date
05/30/2018
Last updated
11/10/2025
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