Mamourian, Alexander

Mamourian, Alexander is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Mamourian, Alexander can be contacted via phone (717) 531-8044.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033
Fax: (717) 531-5596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 8974 New Hampshire
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD032261E Pennsylvania

Profile Details

NPI number 1619997301
LBN Legal business name Mamourian, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 6th, 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 1619997301 NPPES
Vermont MEDICAID 0RE2778
Vermont MEDICAID 101934687
Vermont MEDICAID 99002778

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