Individual
ALEXANDRA IANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8700
(978) 635-8920
Mailing address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8700
(978) 635-8920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
159728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119911
—
MA
Enumeration date
03/29/2006
Last updated
03/19/2015
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