Provider Demographics
NPI:1215378435
Name:ALEXANDER, PETA-MAREE ANN (MBBS)
Entity Type:Individual
Prefix:DR
First Name:PETA-MAREE
Middle Name:ANN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MBBS
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Mailing Address - Street 1:BOSTON CHILDREN'S HOSPITAL, 300 LONGWOOD AVENUE
Mailing Address - Street 2:CARDIOLOGY DEPARTMENT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-355-6363
Mailing Address - Fax:
Practice Address - Street 1:BOSTON CHILDREN'S HOSPITAL, 300 LONGWOOD AVENUE
Practice Address - Street 2:CARDIOLOGY DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-355-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2562642080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine