Individual
ALEXANDER R. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
840 HARRISON AVE, MENINO BUILDING, BOSTON, MA 02118
(617) 638-8609
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12537
NC
363A00000X
Physician Assistant
Primary
1023779857
OH
363A00000X
Physician Assistant
PA100222
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110206480A
—
MA
05
—
3143751
—
NH
Enumeration date
01/04/2022
Last updated
10/01/2025
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