Healthcare Provider Details

I. General information

NPI: 1679777221
Provider Name (Legal Business Name): ALEXANDRA LEE SINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL NAVAL MEDICAL CENTER INTERNAL MEDICINE 8901 WISCONSIN AVENUE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

23916 TRADING POST DR
CLARKSBURG MD
20871-5307
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0196
  • Fax: 301-319-8240
Mailing address:
  • Phone: 301-540-7741
  • Fax: 301-319-8240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101241978
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: