Healthcare Provider Details

I. General information

NPI: 1013658632
Provider Name (Legal Business Name): ALEXANDER JON TREI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW STE M3400
WASHINGTON DC
20007-2196
US

IV. Provider business mailing address

3800 RESERVOIR RD NW STE M3400
WASHINGTON DC
20007-2196
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8161
  • Fax: 202-444-4747
Mailing address:
  • Phone: 202-444-8161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0102964
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberCS2100012851
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: