Healthcare Provider Details

I. General information

NPI: 1497233852
Provider Name (Legal Business Name): ALEXANDER HULETT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2018
Last Update Date: 07/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBINSON ST
POTTSTOWN PA
19464-6421
US

IV. Provider business mailing address

2583 MARTINS LN
HELLERTOWN PA
18055-3019
US

V. Phone/Fax

Practice location:
  • Phone: 484-941-0500
  • Fax:
Mailing address:
  • Phone: 484-707-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: