Individual
ALEXANDRA WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
4 LONGFELLOW PL APT 1802, BOSTON, MA 02114-2815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8780
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MCS002316J
MCSR
MA
01
—
PA8780
MA STATE LICENSE
MA
Enumeration date
06/28/2022
Last updated
04/11/2025
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