Provider Demographics
NPI:1942484092
Name:KNYAZHITSKIY, ALEXEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXEY
Middle Name:
Last Name:KNYAZHITSKIY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WASHINGTON ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2470
Mailing Address - Country:US
Mailing Address - Phone:508-824-7282
Mailing Address - Fax:508-824-7285
Practice Address - Street 1:72 WASHINGTON ST STE 2100
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2470
Practice Address - Country:US
Practice Address - Phone:508-824-7282
Practice Address - Fax:508-824-7285
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235291207R00000X
VT807578207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine