Organization
ALEXEYENKO MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRE ALEXEYENKO M.D. (PRESIDENT)
(781) 581-6181
Entity
Organization
Contact information
Practice address
24 STATE ST, LYNN, MA 01901-1505
(781) 581-6181
(781) 599-3229
Mailing address
24 STATE ST, LYNN, MA 01901-1505
(781) 581-6181
(781) 599-3229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77955
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9785647
—
MA
Enumeration date
09/26/2005
Last updated
10/14/2014
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