Healthcare Provider Details

I. General information

NPI: 1730640780
Provider Name (Legal Business Name): ALEXANDER ANDREW VALIGA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2019
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD
NEWARK DE
19713-2146
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD
NEWARK DE
19713-2146
US

V. Phone/Fax

Practice location:
  • Phone: 302-633-7550
  • Fax:
Mailing address:
  • Phone: 302-633-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberC1-0027055
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberC1-0027055
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: