Individual
ALEXANDER M CHIRKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 ORMS ST, PROVIDENCE, RI 02904-2222
(401) 222-5500
Mailing address
18 GRAYWOOD DR, LINCOLN, RI 02865-4955
(401) 222-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
157357
MA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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