Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD473941 | PA |
N | 208600000X | Surgeon | MD473941 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD473941 | PA |
NPI | 1114260932 |
---|---|
Provider Name | Dr. Alexander Willard Bridges |
First Address | Lancaster, PA 17602-2374 |
Second Address | Lancaster, PA 17602-2374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 06/01/2022 |