Provider Demographics
NPI:1740219195
Name:ACCARDI, ALEXANDRA LUZ (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:LUZ
Last Name:ACCARDI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1261 FURNACE BROOK PKWY
Mailing Address - Street 2:SUITE 31
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-479-4545
Mailing Address - Fax:617-479-4555
Practice Address - Street 1:1261 FURNACE BROOK PKWY
Practice Address - Street 2:SUITE 31
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-479-4545
Practice Address - Fax:617-479-4555
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA595732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3079457Medicaid
MAS027977OtherCHAMPUS
MAJ08248OtherBLUECROSS/BLUESHIELD
MAS027977OtherCHAMPUS
MA3079457Medicaid