Alexeyenko Medical Associates Lynn

Organization Active NPI Internal Medicine Physician · Lynn, MA

NPI 1821340332 · NPPES record last updated Oct 8, 2012

Key facts

NPI
1821340332
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
77955 (MA)
Legal business name
ALEXEYENKO MEDICAL ASSOCIATES LYNN
Practice address
24 State St
Lynn, MA 01901-1505
Phone
(781) 581-6181
Fax
(781) 599-3229
NPI assigned
Oct 8, 2012
Organization subpart
No

Authorized official

Name
Dr. Alexandre Alexeyenko, M.D.
Title
Owner
Phone
(781) 581-6181

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 77955 MA Yes

Addresses

Primary practice location

24 State St
Lynn, MA 01901-1505

Mailing address

PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071

Other identifiers

IdentifierTypeStateIssuer
M20708OtherMAMEDICARE

Other providers in Lynn, MA

All providers in Lynn, MA · Internal Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.