Individual
DR. ALEXANDER JOHN CONSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(518) 779-9119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0084322
MD
2080P0203X
Pediatric Critical Care Medicine Physician
036156523
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A191485
CA
Other
Enumeration date
06/02/2014
Last updated
04/17/2024
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