Healthcare Provider Details

I. General information

NPI: 1073451654
Provider Name (Legal Business Name): ALFREDO SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E 9TH ST
CHESTER PA
19013-6019
US

IV. Provider business mailing address

315 SCOTT LN
WALLINGFORD PA
19086-6840
US

V. Phone/Fax

Practice location:
  • Phone: 610-872-6131
  • Fax:
Mailing address:
  • Phone: 610-872-6131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP035626
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: