Basic Information
Provider Information
NPI: 1477288827
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOPPIN
FirstName: ALEXANDER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 717 STAG CT
Address2:  
City: HUMMELSTOWN
State: PA
PostalCode: 170367201
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1025 W HARRISBURG PIKE
Address2:  
City: MIDDLETOWN
State: PA
PostalCode: 170574848
CountryCode: US
TelephoneNumber: 7179440491
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/20/2022
LastUpdateDate: 07/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XRN691183PAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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