Provider Demographics
NPI:1659344091
Name:CIST, ALEXANDRA FLATHER-MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:FLATHER-MORGAN
Last Name:CIST
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:55 FRUIT ST COX 2
Practice Address - Street 2:PULMONARY ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-1721
Practice Address - Fax:617-726-6878
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2011-10-31
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Provider Licenses
StateLicense IDTaxonomies
MA75989207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3154238Medicaid
MA075989OtherTUFTS HEALTH PLAN
MAJ16723OtherBCBS MA
MAJ16723OtherBCBS MA
MA3154238Medicaid