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Individual
MR. ALEXANDER BRAZALOVICH
Active
Individual
MR. ALEXANDER BRAZALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1364
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037872
BCBS START NUMBER
ME
01
—
1364
LICENSE
ME
05
—
285210099
—
ME
01
—
7659431002
CIGNA
ME
01
—
MN3424
HARVARD
ME
Enumeration date
05/17/2006
Last updated
03/07/2023
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