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NPI Code Detail

MEDICARE: DR. ALEXA R RAYMOND M.D.

MEDICARE: DR. ALEXA R RAYMOND M.D.
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
1207Q00000XFamily Medicine Physician087538OH
2207Q00000XFamily Medicine PhysicianMD15225RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982712030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXA R RAYMOND M.D.
Provider Business Mailing Address
First Line : 200 MILL RD STE 180
Second Line :
City : FAIRHAVEN
State : MA
Zip : 02719-5255
Country : US
Telephone Number : 508-973-2000
Fax Number : 508-973-2001
Provider Business Practice Location Address
First Line : 1 RIVER ST
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3214
Country : US
Telephone Number : 401-783-0523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 06/24/2025

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Directions to “ DR. ALEXA R RAYMOND M.D.” Practice Location

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