Individual
DR. ALEXANDER GEORGAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0459
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220859
MA
207RC0000X
Cardiovascular Disease Physician
MT189574
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083043A
—
MA
Enumeration date
07/21/2008
Last updated
09/20/2013
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