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Individual

ALEXANDER I GUTKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 295-9369
Mailing address
68 S SERVICE RD, STE 350, MELVILLE, NY 11747-2354
(516) 945-3107
(516) 945-3131

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238092
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08987080
MS
05
1577219
LA
05
19028302920
VA
01
P00950950
PALMETTO RAILROAD
DC
Enumeration date
07/10/2006
Last updated
03/20/2015
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