Provider Demographics
NPI:1689806283
Name:FLECKENSTEIN, ALEXA HANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:HANNE
Last Name:FLECKENSTEIN
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 1:111 SEAVER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-5753
Mailing Address - Country:US
Mailing Address - Phone:617-834-9700
Mailing Address - Fax:
Practice Address - Street 1:111 SEAVER ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-5753
Practice Address - Country:US
Practice Address - Phone:617-834-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine