Provider Demographics
NPI:1164043550
Name:ALBERTO, ALEXANDRIA (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:ALBERTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 N PEGRAM ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2727
Mailing Address - Country:US
Mailing Address - Phone:978-505-3317
Mailing Address - Fax:
Practice Address - Street 1:5860 COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:BAILEYS CROSSROADS
Practice Address - State:VA
Practice Address - Zip Code:22041-2047
Practice Address - Country:US
Practice Address - Phone:703-348-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101283633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty