Healthcare Provider Details

I. General information

NPI: 1275550600
Provider Name (Legal Business Name): ALEXANDRA BUDIKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 MOUNT PLEASANT RD
VILLANOVA PA
19085-2112
US

IV. Provider business mailing address

1501 MOUNT PLEASANT RD
VILLANOVA PA
19085-2112
US

V. Phone/Fax

Practice location:
  • Phone: 610-527-1400
  • Fax:
Mailing address:
  • Phone: 610-527-1400
  • Fax: 610-527-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA06532700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD060800L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: