Individual
DR. ANGELICE L. ALEXANDER-MARTIN
Active
Individual
DR. ANGELICE L. ALEXANDER-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-080261
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
35080261
OH
207QB0002X
Obesity Medicine (Family Medicine) Physician
35080261
OH
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
35-080261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295047
ANTHEM BLUE CROSS BLUE SH
OH
01
—
01-11291
UNITED HEALTHCARE
OH
01
—
032021509-00
BWC
OH
01
—
106506
NATIONWIDE HEALTH PLANS
OH
05
—
2364801
—
OH
01
—
350809868001
MEDICAL MUTUAL
OH
01
—
7355546
AETNA
OH
Enumeration date
09/01/2006
Last updated
01/07/2022
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