Provider Demographics
NPI:1306807797
Name:ALEXANDER, HAROLD OLIVER (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:OLIVER
Last Name:ALEXANDER
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 1:7610 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-4701
Mailing Address - Country:US
Mailing Address - Phone:301-669-1870
Mailing Address - Fax:301-669-1873
Practice Address - Street 1:7610 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-4701
Practice Address - Country:US
Practice Address - Phone:301-669-1870
Practice Address - Fax:301-669-1873
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD282702600Medicaid
MD322421000Medicaid
MD282702600Medicaid
MDAL124864Medicare ID - Type UnspecifiedPROVIDER NUMBER