Byskosh, Alexandria
Byskosh, Alexandria is an sole proprietor health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Byskosh, Alexandria can be contacted via phone (617) 789-3000.Contact Information
Primary practice address
736 Cambridge St
Brighton MA 02135-2907
Phone: (617) 789-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | B22001994678 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 289652 | Massachusetts |
Profile Details
| NPI number | 1457808578 |
|---|---|
| LBN Legal business name | Byskosh, Alexandria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2016 |
| Last updated | Jul 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457808578 | NPPES |
| Massachusetts | MEDICAID | 289652 |
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