=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881182996
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEXANDER CHERN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2018
-----------------------------------------------------
Last Update Date | 11/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3400 CIVIC CENTER BLVD APT 2109
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19104-5127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-662-2860
-----------------------------------------------------
Fax | 215-662-4182
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3400 SPRUCE ST RAVDIN 5
-----------------------------------------------------
City | PHILADELPHIA, PA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19104-4238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-662-2860
-----------------------------------------------------
Fax | 215-662-4182
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Y00000X
-----------------------------------------------------
Taxonomy Name | Otolaryngology Physician
-----------------------------------------------------
License Number | MD490053
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------