Individual
ALEXANDRIA ROSE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAWKEY 4B, BOSTON, MA 02114-2696
(617) 724-9557
Mailing address
55 FRUIT ST, YAWKEY 4B, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
1027125
MA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
1027125
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2021
Last updated
05/06/2026
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