Provider Demographics
NPI:1104964881
Name:HILLEL, ALEXANDER TELL (MD)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:TELL
Last Name:HILLEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 N CAROLINE ST FL 6
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0006
Mailing Address - Country:US
Mailing Address - Phone:443-287-6006
Mailing Address - Fax:410-614-8610
Practice Address - Street 1:601 N CAROLINE ST
Practice Address - Street 2:JHOC - 6TH FLOOR OTOLARYNGOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-1654
Practice Address - Fax:410-955-6526
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063529207Y00000X
GA65677207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD038781900Medicaid
MD241030ZAK8Medicare PIN