ALEXANDER FANTAK MENG

BOSTON, MA
NPI1679354492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  149828)
Enumeration Date2023-10-09
Last Update Date2024-01-22
Business Address
ALEXANDER FANTAK MENG
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-3030
Mailing Address
ALEXANDER FANTAK MENG
2821 CHARTSTONE CT
MIDLOTHIAN, VA 23113-2296
Phone number: 804-986-5620