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Individual

DR. ALEXANDRIA MARIE NIEWIADOMSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
3365 BURNS RD, SUITE 100, PALM BEACH GARDENS, FL 33410-4326
(561) 626-4000
(561) 493-8172
Mailing address
3365 BURNS RD STE 100, PALM BEACH GARDENS, FL 33410-4302
(561) 626-4000
(561) 493-8172

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MS 84391
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15676
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/02/2005
Last updated
09/06/2007
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