Alexander Elli Nuique Jr., MD
Family Medicine in Williamsport, PA. Individual provider (NPI-1).
NPI number1023630480
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1023630480
- Entity type
- Individual (NPI-1)
- Name
- Alexander Elli Nuique Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2020
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD482457 | PA | Yes |
Practice location
1205 River Avenue Fl 2Williamsport, PA 17701-4818
Phone 570-326-4118 · Fax 570-326-5533
Mailing address
7 Dock Hill RoadMiddleburg, PA 17845-8910
Phone 570-837-2123 · Fax 570-837-2185
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