Healthcare Provider Details

I. General information

NPI: 1952938961
Provider Name (Legal Business Name): ORCHIDEH ALEXANDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

792 CHIMNEY ROCK RD STE A
MARTINSVILLE NJ
08836-2271
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 908-333-0614
  • Fax: 908-947-2708
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA12220600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: