Provider Demographics
NPI:1124413752
Name:TENG, ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:TENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BIDMC-PALLIATIVE CARE
Mailing Address - Street 2:330 BROOKLINE AVE, E/YAMINS 100
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-0001
Mailing Address - Country:US
Mailing Address - Phone:617-667-1320
Mailing Address - Fax:617-667-2854
Practice Address - Street 1:BIDMC-PALLIATIVE CARE
Practice Address - Street 2:330 BROOKLINE AVE, E/YAMINS 100
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-1320
Practice Address - Fax:617-667-2854
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA274708208M00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist