Provider Demographics
NPI:1093177677
Name:DEKEL, ALEXANDER MARK (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MARK
Last Name:DEKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:88 E NEWTON ST
Mailing Address - Street 2:ROOM 2817A
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2308
Mailing Address - Country:US
Mailing Address - Phone:617-638-6975
Mailing Address - Fax:617-638-6959
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:ROOM 2817A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2308
Practice Address - Country:US
Practice Address - Phone:617-638-6975
Practice Address - Fax:617-638-6959
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-07-02
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Provider Licenses
StateLicense IDTaxonomies
MA267474207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology