IndividualActive
Alexander Nicholas, DO
NPI 1639171598 · Neuromusculoskeletal Medicine & OMM Physician · Philadelphia, PA
Provider details
- NPI number
- 1639171598
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS003496L (PA)
Practice location
4190 City Line Ave
Philadelphia, PA 19131-1626
Phone: (215) 871-6425
Fax: (215) 871-6490
Mailing address
4190 City Line Ave
Philadelphia, PA 19131-1626
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2016-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.