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Individual

ALEX J VANNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-2511
(781) 744-5429
Mailing address
41 MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-2511
(781) 744-5429

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
227907
MA
208800000X
Urology Physician
MD60133291
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110089622A
MA
Enumeration date
05/30/2006
Last updated
02/19/2021
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