Provider Demographics
NPI:1902962111
Name:TARG, ALEXANDER GARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:GARY
Last Name:TARG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 EL CAJON WAY
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3408
Mailing Address - Country:US
Mailing Address - Phone:650-814-3025
Mailing Address - Fax:
Practice Address - Street 1:906 EL CAJON WAY
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-3408
Practice Address - Country:US
Practice Address - Phone:650-814-3025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2008-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69019207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology