Provider Demographics
NPI:1497877534
Name:VINCENT A. D'ALESSANDRO, M.D.
Entity Type:Organization
Organization Name:VINCENT A. D'ALESSANDRO, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BONAMINIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-231-3300
Mailing Address - Street 1:1857 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-7206
Mailing Address - Country:US
Mailing Address - Phone:401-231-3300
Mailing Address - Fax:401-232-0190
Practice Address - Street 1:1857 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-7206
Practice Address - Country:US
Practice Address - Phone:401-231-3300
Practice Address - Fax:401-232-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI3506208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty