Individual
DR. ALEXANDER Y WALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118-0211
(617) 414-7399
(617) 414-4676
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221133
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2083A0300X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041445A
—
MA
Enumeration date
05/02/2006
Last updated
03/18/2022
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