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NPI Code Detail

MEDICARE: DR. ALEXANDER GENKIN DMD

MEDICARE: DR. ALEXANDER GENKIN DMD
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
11223G0001XGeneral Practice DentistryDS031567PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689711327
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER GENKIN DMD
Provider Business Mailing Address
First Line : 2284 DORCHESTER ST W
Second Line :
City : FURLONG
State : PA
Zip : 18925-1529
Country : US
Telephone Number : 267-980-5941
Fax Number :
Provider Business Practice Location Address
First Line : 10108 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3704
Country : US
Telephone Number : 215-677-3904
Fax Number : 215-677-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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