IndividualActive
Alexander Koculym, MD
NPI 1750807772 · Diagnostic Radiology Physician · Boston, MA
Provider details
- NPI number
- 1750807772
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 270458 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Massachusetts General Hospital
Boston, MA 02114-2621
Phone: (617) 643-2009
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit St
Boston, MA 02114-2621
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2017-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.