1497125967 NPI number — SPECIALIZED EDUCATION OF DC, INC.

Table of content: DR. ALEXANDER IAN SHERZER M.D. (NPI 1639364672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497125967 NPI number — SPECIALIZED EDUCATION OF DC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPECIALIZED EDUCATION OF DC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497125967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
385 OXFORD VALLEY RD
Provider Second Line Business Mailing Address:
SUITE 408
Provider Business Mailing Address City Name:
YARDLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19067-7700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-369-8699
Provider Business Mailing Address Fax Number:
215-369-8690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1530 1ST ST SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20024-3401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-479-0089
Provider Business Practice Location Address Fax Number:
202-479-4709
Provider Enumeration Date:
09/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
VARGAS
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
215-369-8699

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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