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Individual

ALEXANDER TA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1497
(301) 896-3990
Mailing address
13606 AUTUMN TRAIL DR, GERMANTOWN, MD 20874-2955
(240) 505-2648

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
R214986
MD

Other

Enumeration date
05/04/2021
Last updated
07/15/2021
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