Provider Demographics
NPI:1982600326
Name:ALEXANDER, JOSEPH F (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:ALEXANDER
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 1:3090 W MARKET ST
Mailing Address - Street 2:STE 110
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3615
Mailing Address - Country:US
Mailing Address - Phone:330-836-7110
Mailing Address - Fax:330-836-7423
Practice Address - Street 1:3090 W MARKET ST
Practice Address - Street 2:STE 110
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3615
Practice Address - Country:US
Practice Address - Phone:330-836-7110
Practice Address - Fax:330-836-7423
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH39562207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0481741Medicaid
OH0481741Medicaid
OH0422802Medicare ID - Type Unspecified