Individual
DR. ALEXANDRA ELISABETH COLLEEN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(314) 726-8810
(617) 726-3441
Mailing address
15 PARKMAN ST # 340, BOSTON, MA 02114-3117
(314) 726-8810
(617) 726-3441
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2018014951
MO
Other
Enumeration date
06/26/2018
Last updated
03/17/2025
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