Provider Demographics
NPI:1063559326
Name:NATOVA, ALEXANDRA P (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:P
Last Name:NATOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:136 HARWICH ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02467
Mailing Address - Country:US
Mailing Address - Phone:617-964-5496
Mailing Address - Fax:339-499-1078
Practice Address - Street 1:136 HARWICH ROAD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02467
Practice Address - Country:US
Practice Address - Phone:617-964-5496
Practice Address - Fax:339-499-1078
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA161267207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine