Individual
ALEX TONKONOGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 BANCROFT PARK, HOPEDALE, MA 01747-1810
(774) 287-6862
Mailing address
4 BANCROFT PARK, HOPEDALE, MA 01747-1810
(774) 287-6862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7631
MA
Other
Enumeration date
07/15/2020
Last updated
07/23/2020
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