MEDICARE: ALEXANDER FINO GUZMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	PTT103613	MA

General Provider Information

NPI Number	:	1235966649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER FINO GUZMAN

Provider Business Mailing Address
First Line	:	115 CHESTER AVE
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-3235
Country	:	US
Telephone Number	:	617-586-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MERIDIAN ST
Second Line	:
City	:	EAST BOSTON
State	:	MA
Zip	:	02128-1928
Country	:	US
Telephone Number	:	617-569-5278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	09/18/2024

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Directions to “ ALEXANDER FINO GUZMAN ” Practice Location

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