Physician Compare National (NPI:1629228689)

HEALTHCARE PROVIDER: ALEXANDER EDWARD POOR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629228689
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032408992
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160516001796
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POOR
	Individual professional last name
Provider First Name	ALEXANDER
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1200 CONSTITUTION AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191121323
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y