Individual
ALEXANDER KONDRATIEV
Active
Individual
ALEXANDER KONDRATIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
238203
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
238203
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238203
LICENSE
MA
Enumeration date
11/19/2008
Last updated
11/19/2008
Update your record
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