Individual
ALEXANDER FANTAK MENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3030
Mailing address
2821 CHARTSTONE CT, MIDLOTHIAN, VA 23113-2296
(804) 986-5620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149828
MA
Other
Enumeration date
10/09/2023
Last updated
01/22/2024
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