Active NPIIndividual providerSole proprietor

Alexander G Protosevich, PA-C

Physician Assistant in Charlestown, New Hampshire

NPI Number1093364895
Practice location
250 Ceda RD, Charlestown, NH 03603-4511
Fax
—
Last updated
August 11, 2021

Alexander George Protosevich is a Physician Assistant based in Charlestown, NH. Alexander George Protosevich practices in Charlestown, NH and has the professional credentials of PA-C. The NPI Number for Alexander George Protosevich is 1093364895 and holds a License No. PA8061 (MA). The current practice location address for Alexander George Protosevich is 250 Ceda RD, Charlestown, NH 03603-4511 and can be reached out via phone at 603-826-5711.

Provider Profile Details

NPI Number
1093364895
Provider Name
Alexander George Protosevich
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
250 Ceda RD, Charlestown, NH 03603-4511
Phone Number
603-826-5711
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2019
Last Update Date
August 11, 2021
Certification Date
August 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Ceda RD
Charlestown, NH 03603-4511
Zip
03603-4511
Phone Number
603-826-5711
Charlestown, NH 03603Get directions →

Provider Business Mailing Address Details

Address
75 Francis St
Boston, MA 02115-6110
City
Boston
State
MA
Zip
02115-6110
Phone Number
617-732-6040

License Information

License Number (1)
PA8061
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
055.0031434
License State (2)
VT
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexander G Protosevich, PA-C?

The NPI number of Alexander G Protosevich, PA-C is 1093364895. It was assigned on September 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Alexander G Protosevich, PA-C?

Alexander G Protosevich, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8061.

Where does Alexander G Protosevich, PA-C practice?

The practice location is 250 Ceda RD, Charlestown, NH 03603-4511. The office can be reached at 603-826-5711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093364895 directly on the NPPES registry website.

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