Provider Demographics
NPI:1922003334
Name:ALEXANDRE, HOLLY L (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:L
Last Name:ALEXANDRE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:49 STATE ROAD
Practice Address - Street 2:PEQUOT BLDG
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747
Practice Address - Country:US
Practice Address - Phone:508-973-2206
Practice Address - Fax:508-973-9275
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2020-04-20
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Provider Licenses
StateLicense IDTaxonomies
MA220744207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHA54072Medicaid
MA110039250AMedicaid
RIHA54072Medicaid