Basic Information
Provider Information
NPI: 1902000664
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER
FirstName: REBECCA
MiddleName: E
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1369 GRAFTON ST
Address2:  
City: WORCESTER
State: MA
PostalCode: 016042737
CountryCode: US
TelephoneNumber: 5083737400
FaxNumber: 5083737449
Practice Location
Address1: 8 COMMERCE DR STE 101
Address2:  
City: BEDFORD
State: NH
PostalCode: 031106946
CountryCode: US
TelephoneNumber: 6034210414
FaxNumber: 6034210548
Other Information
ProviderEnumerationDate: 06/14/2007
LastUpdateDate: 12/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QH0002X077461-23NHY Allopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine

No ID Information.


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