Provider Demographics
NPI:1386876522
Name:WANG, ALEXANDRA VERONICA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:VERONICA
Last Name:WANG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ALEXANDRA
Other - Middle Name:VERONICA
Other - Last Name:ROSENFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1601 SW ARCHER RD
Mailing Address - Street 2:MALCOM RANDALL VA MEDICAL CENTER
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1135
Mailing Address - Country:US
Mailing Address - Phone:352-376-1611
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:MALCOM RANDALL VA MEDICAL CENTER
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-1195232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry