Provider Demographics
NPI:1669853289
Name:BRESCIA, ALEXANDER ANGELO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ANGELO
Last Name:BRESCIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-7260
Mailing Address - Fax:314-747-0917
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV SURG CT ADULT CARDIO
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-7260
Practice Address - Fax:314-747-0917
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2024-04-10
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Provider Licenses
StateLicense IDTaxonomies
MO2023043325208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200132861Medicaid