Provider Demographics
NPI:1245981315
Name:POLLACK, ALEXANDRA LAUREN
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LAUREN
Last Name:POLLACK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-0497
Mailing Address - Country:US
Mailing Address - Phone:978-333-7426
Mailing Address - Fax:
Practice Address - Street 1:45 MAIN ST FL 4
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2166
Practice Address - Country:US
Practice Address - Phone:978-333-7426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist