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Individual
MR. ALEXANDER MARCUS
Active
Individual
MR. ALEXANDER MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216979
MA
208000000X
Pediatrics Physician
25MA10862100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028450
—
MA
01
—
206711
HPHC
MA
01
—
216979
TUFTS
—
01
—
J26476
BCBS
MA
Enumeration date
11/04/2005
Last updated
04/12/2024
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