Healthcare Provider Details

I. General information

NPI: 1891340048
Provider Name (Legal Business Name): ALEXANDER SENG CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 08/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 MEDICAL DR
POTTSTOWN PA
19464-3224
US

IV. Provider business mailing address

1601 MEDICAL DR
POTTSTOWN PA
19464-3241
US

V. Phone/Fax

Practice location:
  • Phone: 610-326-8005
  • Fax: 610-327-9629
Mailing address:
  • Phone: 610-327-4200
  • Fax: 610-327-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP020264
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: