Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0044007 | WA |
Y | 208600000X | Surgeon | D0044007 | WA |
NPI | 1023032752 |
---|---|
Provider Name | Dr. Henry Richard Alexander JR. |
First Address | Baltimore, MD 21264-4742 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 09/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0113 | CAREFIRST (01) | MD |
2142048 | MDIPA (01) | MD |
256278 | KAISER (01) | MD |
409980000 | (05) | MD |
88225801 | BLUE SHIELD (01) | MD |
M60291 | (02) | MD |