Provider Demographics
NPI:1851310064
Name:LIPIN, ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:LIPIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 MORRILL PL
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3530
Mailing Address - Country:US
Mailing Address - Phone:978-388-3648
Mailing Address - Fax:978-346-8853
Practice Address - Street 1:25 HIGHLAND AVE.
Practice Address - Street 2:ANNA JAQUES HOSPITAL
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3530
Practice Address - Country:US
Practice Address - Phone:978-463-1066
Practice Address - Fax:978-463-1217
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2107792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2099667Medicaid
MAH65026Medicare UPIN
MA2099667Medicaid