Provider Demographics
NPI:1679839922
Name:LIMJUCO, ALEXANDER PHILIP (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:PHILIP
Last Name:LIMJUCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 HIGH POINT BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7817
Mailing Address - Country:US
Mailing Address - Phone:610-866-5555
Mailing Address - Fax:610-866-3151
Practice Address - Street 1:3445 HIGH POINT BLVD STE 400
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7817
Practice Address - Country:US
Practice Address - Phone:610-866-5555
Practice Address - Fax:610-866-3151
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME130957207Y00000X
NJ25MA10412000207Y00000X
WV26057207Y00000X
PAMD465205207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology