MEDICARE: ORCHIDEH ALEXANDER MD

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
1	207V00000X	Obstetrics & Gynecology Physician	25MA12220600	NJ

General Provider Information

NPI Number	:	1952938961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORCHIDEH ALEXANDER MD

Provider Business Mailing Address
First Line	:	PO BOX 416457
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6457
Country	:	US
Telephone Number	:	844-362-1735
Fax Number	:	973-290-7495

Provider Business Practice Location Address
First Line	:	792 CHIMNEY ROCK RD STE A
Second Line	:
City	:	MARTINSVILLE
State	:	NJ
Zip	:	08836-2271
Country	:	US
Telephone Number	:	908-333-0614
Fax Number	:	908-947-2708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	09/03/2024

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