IndividualActive
Alexander Crystal, M.D
NPI 1376808048 · Student in an Organized Health Care Education/Training Program · Bridgeport, CT
Provider details
- NPI number
- 1376808048
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- AB350126936 (CT)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense AB350126936 (CT)
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
267 Grant St
Department of Internal Medicine
Bridgeport, CT 06610-2805
Phone: (203) 384-3792
Approximate (ZIP-level) locationGet directions
Mailing address
267 Grant St
Bridgeport, CT 06610-2805
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2013-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.