Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Ivanov

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1700771292

Alexandra Ivanov is a Critical Care Medicine (Internal Medicine) Physician in South Weymouth, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone: (781) 624-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 0 (MA)

Record details

NPI number1700771292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address12 Hancock St Apt 1, Somerville, MA 02144-3103

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