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ALEXANDER RASLAVICUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 ALUMNI DRIVE, EXETER, NH 03833-2128
(603) 580-6608
(603) 580-6707
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10286
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184110
MA
01
01Y002585NH02
ANTHEM
NH
05
270970099
ME
01
271674
CIGNA
01
300134519
RAILROAD MEDICARE
05
30203169
NH
01
5624667
AETNA
Enumeration date
07/24/2006
Last updated
12/15/2009
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