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Individual
ALEC FEDOROV
Active
Individual
ALEC FEDOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD22265
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288355
—
OR
01
—
MD22265
STATE LICENSE
OR
Enumeration date
05/08/2006
Last updated
06/27/2025
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