MEDICARE: ALEXANDRIA KWAPINSKI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	25MP00594900	NJ
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093350191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA KWAPINSKI PA-C

Provider Business Mailing Address
First Line	:	15 E REDMAN AVE
Second Line	:
City	:	HADDONFIELD
State	:	NJ
Zip	:	08033-2316
Country	:	US
Telephone Number	:	856-922-9700
Fax Number	:	856-428-0702

Provider Business Practice Location Address
First Line	:	15 E REDMAN AVE
Second Line	:
City	:	HADDONFIELD
State	:	NJ
Zip	:	08033-2316
Country	:	US
Telephone Number	:	856-922-9700
Fax Number	:	856-428-0702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	12/30/2025

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