Alexander Spasic Md Family Medicine Llc | |
419 Village Dr Carlisle PA 17015-6943 | |
(717) 258-0099 | |
(717) 258-0085 |
Full Name | Alexander Spasic Md Family Medicine Llc |
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Speciality | Family Medicine |
Location | 419 Village Dr, Carlisle, Pennsylvania |
Authorized Official Name and Position | Alexander Spasic (PHYSICIAN) |
Authorized Official Contact | 7172580099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alexander Spasic Md Family Medicine Llc 419 Village Dr Suite 6 Carlisle PA 17015-6943 Ph: (717) 258-0099 | Alexander Spasic Md Family Medicine Llc 419 Village Dr Carlisle PA 17015-6943 Ph: (717) 258-0099 |
NPI Number | 1003839143 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 04/30/2008 |
Medicare PECOS PAC ID | 7517990963 |
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Medicare Enrollment ID | O20050915000600 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003839143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD064529L (Pennsylvania) | Primary |
Provider Name | Alexander Spasic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003812132 PECOS PAC ID: 9335188127 Enrollment ID: I20050502000267 |
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