Individual
DR. ALEXANDER CRYSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
267 GRANT ST, DEPARTMENT OF INTERNAL MEDICINE, BRIDGEPORT, CT 06610-2805
(203) 384-3792
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AB350126936
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AB350126936
CT
Other
Enumeration date
07/09/2012
Last updated
11/01/2013
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