Individual
MR. ALEXANDER BRAZALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
813 MAIN ST, MASSABESIC REGIONAL MEDICAL CENTER, WATERBORO, ME 04087-3006
(207) 247-6131
(207) 247-6675
Mailing address
33 DOUGLAS AVE, SACO, ME 04072-9732
(207) 283-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1364
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037872
BCBS START NUMBER
ME
01
—
1364
LICENSE
ME
05
—
285210099
—
ME
01
—
7659431002
CIGNA
ME
01
—
MN3424
HARVARD
ME
Enumeration date
05/17/2006
Last updated
03/07/2023
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