Provider Demographics
NPI:1699755074
Name:ALEXANDER, ROBERT G (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 WOODLAND RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1702
Mailing Address - Country:US
Mailing Address - Phone:781-665-3773
Mailing Address - Fax:781-665-6784
Practice Address - Street 1:3 WOODLAND RD
Practice Address - Street 2:SUITE 112
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1702
Practice Address - Country:US
Practice Address - Phone:781-665-3773
Practice Address - Fax:781-665-6784
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2008-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA45358207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0118974Medicaid
15451OtherHCHP
MA705782OtherTUFTS
0004373587OtherAETNA
87726OtherUNITEDHEALTHCARE
28693OtherFALLON
MAB40075OtherBCBS
MAB40075OtherBCBS
MA0118974Medicaid