Provider Demographics
NPI:1790126647
Name:ALFANDRE, JOANNE HALLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:HALLIE
Last Name:ALFANDRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1503 LANSDOWNE AVE STE 3002
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1308
Mailing Address - Country:US
Mailing Address - Phone:610-237-4995
Mailing Address - Fax:610-237-7311
Practice Address - Street 1:1503 LANSDOWNE AVE STE 3002
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1308
Practice Address - Country:US
Practice Address - Phone:610-237-4995
Practice Address - Fax:610-237-7311
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD056087L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics