Individual provider · Type 1 NPI

Alexandra Ivanov

Critical Care Medicine (Internal Medicine) Physician · South Weymouth, MA

NPI number 1700771292 Active

Practice location

55 Fogg Rd
South Weymouth, MA 02190-2432

Mailing address

12 Hancock St Apt 1
Somerville, MA 02144-3103

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200XNone listed

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1700771292

Alexandra Ivanov's National Provider Identifier is 1700771292, issued on Jun 12, 2025. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in South Weymouth, MA. The record was last updated on Jun 12, 2025.