Individual
ALEXANDRA CANNELL NOTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 S HUNTINGTON AVE DEPT OF, BOSTON, MA 02130
(857) 364-4186
Mailing address
150 S HUNTINGTON AVE DEPT OF, BOSTON, MA 02130-4817
(857) 364-4186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
252496
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
262933
MA
Other
Enumeration date
06/08/2012
Last updated
05/23/2018
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