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Individual

ALEXIS N GIANCATARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
649 N LEWIS RD STE 220, ROYERSFORD, PA 19468-1234
(610) 481-9600
Mailing address
170 N HENDERSON RD STE 310, KING OF PRUSSIA, PA 19406-2155
(610) 481-9600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064016
PA
363A00000X
Physician Assistant
OA006312
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041308570020
PA
Enumeration date
11/08/2022
Last updated
11/18/2025
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