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Individual
MR. ALEX MACKAY CALDERWOOD
Active
Individual
MR. ALEX MACKAY CALDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.004437
CT
363A00000X
Physician Assistant
Primary
PA61135685
WA
363AS0400X
Surgical Physician Assistant
4437
CT
Other
Enumeration date
05/01/2019
Last updated
04/19/2021
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