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Contact Information

ALEXANDER MAMOURIAN, MD
500 UNIVERSITY DR
HERSHEY, PA17033
 Phone: 717-531-8044
 Fax: 717-531-5596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for ALEXANDER MAMOURIAN · (Male)

NPI Number 1619997301
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 8974
  • PA License # MD032261E
  • NH Medicaid 99002778
  • PA Medicaid 101934687
  • VT Medicaid 0RE2778
Hospital affiliation(s)
  • MILTON S HERSHEY MEDICAL CENTER - (Acute Care)
    500 UNIVERSITY DRIVE
    HERSHEY, PA 17033
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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