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NPI Code Detail

MEDICARE: ALEXANDER GIPSMAN MD

MEDICARE: ALEXANDER GIPSMAN MD
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
12080P0214XPediatric Pulmonology PhysicianMD477737PA
2208000000XPediatrics PhysicianMD477737PA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1639639586
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER GIPSMAN MD
Provider Business Mailing Address
First Line : 3401 CIVIC CENTER BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3401 CIVIC CENTER BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4319
Country : US
Telephone Number : 215-590-3749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 01/30/2026

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1407800220 — DR. SUZANNE E BECK M.D.
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1417970450 — OSCAR H MAYER M.D.
Practice Location Address:
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1326061367 — ROBERT W MILLER M.D.
Practice Location Address:
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19104-4319
Practice Phone: 215-590-3749
Practice Fax: 215-590-3500

Directions to “ ALEXANDER GIPSMAN MD” Practice Location

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