Basic Information
Provider Information
NPI: 1982181996
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALBINI
FirstName: ALESSANDRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 132 S 10TH ST STE 1099J
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191075244
CountryCode: US
TelephoneNumber: 2159556585
FaxNumber: 2159236808
Practice Location
Address1: 132 S 10TH ST STE 1099J
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19107
CountryCode: US
TelephoneNumber: 2159556585
FaxNumber: 2159236808
Other Information
ProviderEnumerationDate: 07/23/2018
LastUpdateDate: 09/04/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085B0100XMT216627PAY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyBody Imaging

No ID Information.


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