Individual
DR. ALEXANDRA E BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6501 LOISDALE COURT, SPRINGFIELD, VA 22150-1885
(703) 922-1528
(703) 922-1199
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101226379
VA
208600000X
Surgery Physician
D0071083
MD
208600000X
Surgery Physician
MD038970
DC
Other
Enumeration date
01/04/2007
Last updated
11/15/2011
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