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Organization

ALEXEYENKO MEDICAL ASSOCIATES LYNN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDRE ALEXEYENKO M.D. (OWNER)
(781) 581-6181
Entity
Organization

Contact information

Practice address
24 STATE ST, LYNN, MA 01901-1505
(781) 581-6181
(781) 599-3229
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(781) 749-2133

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77955
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M20708
MEDICARE
MA
Enumeration date
10/08/2012
Last updated
10/08/2012
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