Brucker, Alexander J

Brucker, Alexander J is an individual health care provider with primary practice located at 3801 Filbert St , Philadelphia PA 19104-2640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Brucker, Alexander J can be contacted via phone (215) 662-8100.

Contact Information

Primary practice address
3801 Filbert St Philadelphia PA 19104-2640
Phone: (215) 662-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD020304E Pennsylvania
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD020304E Pennsylvania

Profile Details

NPI number 1073624706
LBN Legal business name Brucker, Alexander J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073624706 NPPES
Pennsylvania MEDICAID 000650140

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