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NPI Code Detail

MEDICARE: ALEXANDER SPASIC MD FAMILY MEDICINE LLC

MEDICARE: ALEXANDER SPASIC MD FAMILY MEDICINE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD064529LPA

General Provider Information

NPI Number : 1003839143
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDER SPASIC MD FAMILY MEDICINE LLC
Provider Business Mailing Address
First Line : 419 VILLAGE DR
Second Line : SUITE 6
City : CARLISLE
State : PA
Zip : 17015-6943
Country : US
Telephone Number : 717-258-0099
Fax Number : 717-258-0085
Provider Business Practice Location Address
First Line : 419 VILLAGE DR
Second Line :
City : CARLISLE
State : PA
Zip : 17015-6943
Country : US
Telephone Number : 717-258-0099
Fax Number : 717-258-0085
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ALEXANDER SPASIC
Credential : M.D.
Telephone Number : 717-258-0099
Provider Enumeration Date : 07/26/2006
Last Update Date : 04/30/2008

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Directions to “ALEXANDER SPASIC MD FAMILY MEDICINE LLC ” Practice Location

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