Individual
ALEXANDER GEORGE PROTOSEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
250 CEDA RD, CHARLESTOWN, NH 03603-4511
(603) 826-5711
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055.0031434
VT
363A00000X
Physician Assistant
Primary
PA8061
MA
Other
Enumeration date
09/05/2019
Last updated
08/11/2021
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