Dr Alexander Crystal, MD - Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Dr Alexander Crystal, MD is a Student In An Organized Health Care Education/training Program physician based in Bridgeport, Connecticut. Dr Alexander Crystal is licensed to practice in Connecticut (license number AB350126936) and his current practice location is 267 Grant St, Department Of Internal Medicine, Bridgeport, Connecticut. He can be reached at his office (for appointments etc.) via phone at (203) 384-3792.

NPI number for Dr Alexander Crystal is 1376808048 and his current mailing address is 267 Grant St, Bridgeport, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376808048.

Contact Information

Dr Alexander Crystal, MD
267 Grant St, Department Of Internal Medicine,
Bridgeport, CT 06610-2805
(203) 384-3792
Not Available



Physician's Profile

Full NameDr Alexander Crystal
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location267 Grant St, Bridgeport, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376808048
  • Provider Enumeration Date: 07/09/2012
  • Last Update Date: 11/01/2013

Medical Identifiers

Medical identifiers for Dr Alexander Crystal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376808048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine AB350126936 (Connecticut)Secondary
390200000XStudent In An Organized Health Care Education/training Program AB350126936 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alexander Crystal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alexander Crystal, MD
267 Grant St,
Bridgeport, CT 06610-2805

Ph: () -
Dr Alexander Crystal, MD
267 Grant St, Department Of Internal Medicine,
Bridgeport, CT 06610-2805

Ph: (203) 384-3792

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