Provider Demographics
NPI:1346238979
Name:RAY, ALEX HENRY (MD)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:HENRY
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 CHESTNUT ST
Mailing Address - Street 2:STE 800
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2497
Mailing Address - Country:US
Mailing Address - Phone:781-444-8177
Mailing Address - Fax:781-449-5310
Practice Address - Street 1:300 CHESTNUT ST
Practice Address - Street 2:STE 800
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2497
Practice Address - Country:US
Practice Address - Phone:781-444-8177
Practice Address - Fax:781-449-5310
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2015-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA51028207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
051028OtherTUFTS
MA3067139Medicaid
1067OtherPILGRIM
1067OtherPILGRIM
B97698Medicare UPIN