Individual
ALEXANDRIA GINA GEORGADARELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 335-5600
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 335-5600
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
1018463
MA
208000000X
Pediatrics Physician
LP04279
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
67568
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2018
Last updated
05/09/2024
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