Individual
RICHARD MAURICE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210-2306
(315) 464-6255
(315) 464-6251
Mailing address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210-2306
(315) 464-6255
(315) 464-6251
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
148600
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G4515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170367-02
—
TX
01
—
89825B
BCBS
TX
Enumeration date
07/28/2005
Last updated
10/07/2022
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