Provider Demographics
NPI:1962169243
Name:CAROLIN, ALEXANDRA SYLVIA (MA)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SYLVIA
Last Name:CAROLIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:SYLVIA
Other - Last Name:CAROLIN ZAPPALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:2021 KATER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 W TABOR RD FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3019
Practice Address - Country:US
Practice Address - Phone:215-456-9315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program