Provider Demographics
NPI:1992036362
Name:HOLLANDER, ALEXIS C (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:C
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 GOLF HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1060
Mailing Address - Country:US
Mailing Address - Phone:610-331-1135
Mailing Address - Fax:
Practice Address - Street 1:180 GOLF HOUSE RD
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1060
Practice Address - Country:US
Practice Address - Phone:610-331-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066260L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology