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NPI Code Detail

MEDICARE: ALEXANDRA MNUSKIN M.D.

MEDICARE:   ALEXANDRA  MNUSKIN  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
12084P0804XChild & Adolescent Psychiatry PhysicianD0081700MD

General Provider Information

NPI Number : 1548646441
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MNUSKIN M.D.
Provider Business Mailing Address
First Line : 1220 E JOPPA RD STE 332
Second Line :
City : TOWSON
State : MD
Zip : 21286-5811
Country : US
Telephone Number : 667-600-2331
Fax Number :
Provider Business Practice Location Address
First Line : 1220 E JOPPA RD STE 332
Second Line :
City : TOWSON
State : MD
Zip : 21286-5811
Country : US
Telephone Number : 732-235-4433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 02/13/2019

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Directions to “ ALEXANDRA MNUSKIN M.D.” Practice Location

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