Healthcare Provider Details
I. General information
NPI: 1598260770
Provider Name (Legal Business Name): ALEXANDER JOHN DUKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/28/2018
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
725 CHERRINGTON PKWY STE 200
MOON TWP PA
15108-4318
US
IV. Provider business mailing address
725 CHERRINGTON PKWY STE 200
MOON TWP PA
15108-4318
US
V. Phone/Fax
- Phone: 412-262-7800
- Fax: 412-262-2277
- Phone: 412-262-7800
- Fax: 412-262-2277
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | MD485053 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: