Iannini, Alexandra

Iannini, Alexandra is an individual health care provider with primary practice located at 321 Main St , Acton MA 01720-3718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iannini, Alexandra can be contacted via phone (978) 635-8700.

Contact Information

Primary practice address
321 Main St Acton MA 01720-3718
Fax: (978) 635-8920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 159728 Massachusetts

Profile Details

NPI number 1669433603
LBN Legal business name Iannini, Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669433603 NPPES
Massachusetts MEDICAID 0119911

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