NPI 1336118017

Alexander M Gorup, MD

Practitioner Otolaryngology Physician Boca Raton, FL

Practice location

Address: 1601 Clint Moore Rd STE 105, Boca Raton, FL 33487-5712
Phone: (561) 391-3333
Fax: (561) 391-5618
Mailing address: 1601 Clint Moore Rd STE 215, Boca Raton, FL 33487-5716

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence ME112703 (FL)

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Registry record

NPI: 1336118017
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2006
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.