Individual provider · Type 1 NPI

Alexander Crystal, MD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1376808048 Active

Practice location

267 Grant St, Department Of Internal Medicine
Bridgeport, CT 06610-2805

Call (203) 384-3792 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XAB350126936 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XAB350126936 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376808048

Alexander Crystal, MD's National Provider Identifier is 1376808048, issued on Jul 9, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 1, 2013.