Moore, Alexandra A

Moore, Alexandra A is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Moore, Alexandra A can be contacted via phone (617) 732-5500.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1008 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA5477 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1008

Profile Details

NPI number 1376969527
LBN Legal business name Moore, Alexandra A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2014
Last updated Mar 12th, 2020 - about 6 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 1376969527 NPPES
Massachusetts Other PA5477 LICENSE
Massachusetts MEDICAID 1376969527 LICENSE

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