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NPI Code Detail

MEDICARE: RICHARD ALSDORF JR. CRNA

MEDICARE: RICHARD ALSDORF JR. CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN327554LPA

General Provider Information

NPI Number : 1851389837
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ALSDORF JR. CRNA
Provider Business Mailing Address
First Line : 1591 STUCKERT RD
Second Line :
City : WARRINGTON
State : PA
Zip : 18976-1553
Country : US
Telephone Number : 215-704-3804
Fax Number : 215-918-1505
Provider Business Practice Location Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number : 215-823-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/08/2007

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