MEDICARE: DR. NICHOLAS ALEXANDER

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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	MA53478	NJ

General Provider Information

NPI Number	:	1972508240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS ALEXANDER

Provider Business Mailing Address
First Line	:	400 FRANKLIN TPKE
Second Line	:	STE 100
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3517
Country	:	US
Telephone Number	:	201-818-4344
Fax Number	:	201-818-2710

Provider Business Practice Location Address
First Line	:	400 FRANKLIN TPKE
Second Line	:	STE 100
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3517
Country	:	US
Telephone Number	:	201-818-4344
Fax Number	:	201-818-2710

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	02/29/2008

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Directions to “ DR. NICHOLAS ALEXANDER ” Practice Location

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