Provider Demographics
NPI:1215357843
Name:DOROSHOW, ALEXANDRA B (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:B
Last Name:DOROSHOW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:420 POTTSTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18073-1423
Mailing Address - Country:US
Mailing Address - Phone:215-679-9321
Mailing Address - Fax:267-517-9027
Practice Address - Street 1:420 POTTSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PENNSBURG
Practice Address - State:PA
Practice Address - Zip Code:18073-1423
Practice Address - Country:US
Practice Address - Phone:215-679-9321
Practice Address - Fax:267-517-9027
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018614207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine