Healthcare Provider Details

I. General information

NPI: 1780653246
Provider Name (Legal Business Name): PIERRE R ALEUS RVT,RVS,RCS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1269 STIRLING ST
PHILADELPHIA PA
19111-5837
US

IV. Provider business mailing address

1269 STIRLING ST
PHILADELPHIA PA
19111-5837
US

V. Phone/Fax

Practice location:
  • Phone: 267-978-0139
  • Fax:
Mailing address:
  • Phone: 267-978-0139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number00013013
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number103620
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: