Individual
MR. ALEC BIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WALLACE BASHAW WAY STE 3002, NEWBURYPORT, MA 01950-3877
(978) 997-1550
Mailing address
1 WALLACE BASHAW WAY STE 3002, NEWBURYPORT, MA 01950-3877
(978) 997-1550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8230
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/08/2021
Last updated
10/04/2021
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