Provider Demographics
NPI:1023588332
Name:ALEXANDER, MICHAEL JR
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:ALEXANDER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1007
Mailing Address - Country:US
Mailing Address - Phone:609-540-0316
Mailing Address - Fax:
Practice Address - Street 1:146 SHEFFIELD DRIVE
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-0804
Practice Address - Country:US
Practice Address - Phone:609-540-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care