Provider Demographics
NPI:1518693472
Name:MELCHIORRE, ALEXANDRA JOANN
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JOANN
Last Name:MELCHIORRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 NAPOLI WAY
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-5564
Mailing Address - Country:US
Mailing Address - Phone:267-760-3457
Mailing Address - Fax:
Practice Address - Street 1:3206 NAPOLI WAY
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-5564
Practice Address - Country:US
Practice Address - Phone:267-760-3457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant