Provider Demographics
NPI:1194189290
Name:ALEXANDER, AASHITHA MARY (MD)
Entity Type:Individual
Prefix:
First Name:AASHITHA
Middle Name:MARY
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:KENVIL
Mailing Address - State:NJ
Mailing Address - Zip Code:07847-2519
Mailing Address - Country:US
Mailing Address - Phone:973-979-3799
Mailing Address - Fax:
Practice Address - Street 1:13 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:KENVIL
Practice Address - State:NJ
Practice Address - Zip Code:07847-2519
Practice Address - Country:US
Practice Address - Phone:973-979-3799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program