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Individual

ALEXANDER SASHA RACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
880 NW 13TH ST, BOCA RATON, FL 33486-2342
(561) 566-5328
Mailing address
880 NW 13TH ST, BOCA RATON, FL 33486-2342
(561) 566-5328

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MTL-2017-075
GU
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036140524
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME155094
FL

Other

Enumeration date
04/25/2013
Last updated
06/10/2022
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