Provider Demographics
NPI:1932428174
Name:ALEXANDER, STEPHEN I (MBBS FRACP MPH)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:I
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MBBS FRACP MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 DWIGHT ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3609
Mailing Address - Country:US
Mailing Address - Phone:617-943-4638
Mailing Address - Fax:
Practice Address - Street 1:52 DWIGHT ST APT 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3609
Practice Address - Country:US
Practice Address - Phone:617-943-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159380174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist