Individual
J. ALEXANDER PALESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-6314
(203) 709-6089
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-8873
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042912
CT
2086X0206X
Surgical Oncology Physician
042912
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001429126
—
CT
Enumeration date
06/27/2006
Last updated
10/28/2021
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