Individual
ALEXANDRE ALEXEYENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 STATE ST, LYNN, MA 01901-1505
(781) 581-6181
(781) 599-3229
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(781) 749-2133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77955
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113485
—
MA
Enumeration date
08/12/2005
Last updated
03/26/2009
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