Individual
ALEXANDRA GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2990
Mailing address
4017 FEELY LN, ONA, WV 25545-9762
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
289647
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2021
Last updated
07/04/2021
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