Provider Demographics
NPI:1871372896
Name:HEWITT, ALEXANDRA (RDMS, RVT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:HEWITT
Suffix:
Gender:F
Credentials:RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W CLARKE AVE STE 1620
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1849
Mailing Address - Country:US
Mailing Address - Phone:302-422-2612
Mailing Address - Fax:
Practice Address - Street 1:21 W CLARKE AVE STE 1620
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1849
Practice Address - Country:US
Practice Address - Phone:302-422-2612
Practice Address - Fax:302-422-2612
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2850792085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound