Individual
ALEXANDER LY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-0000
Mailing address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
279467
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2015
Last updated
06/27/2019
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