Provider Demographics
NPI:1174771232
Name:ALEXANDER, JANET LEATH (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:LEATH
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:LEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:419 W REDWOOD ST
Mailing Address - Street 2:SUITE 479
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1734
Mailing Address - Country:US
Mailing Address - Phone:667-214-1232
Mailing Address - Fax:
Practice Address - Street 1:419 W REDWOOD ST STE 420
Practice Address - Street 2:UNIVERSITY OF MARYLAND DEPARTMENT OF OPHTHALMOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-7002
Practice Address - Country:US
Practice Address - Phone:667-214-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040378207W00000X
MDD0073764207W00000X
VA0101251820207W00000X
ILNA208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208600000XAllopathic & Osteopathic PhysiciansSurgery