Provider Demographics
NPI:1801202551
Name:SANTA D'ALESSIO MD PC
Entity Type:Organization
Organization Name:SANTA D'ALESSIO MD PC
Other - Org Name:BLUE RIDGE PULMONARY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ALESSIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-667-7200
Mailing Address - Street 1:2055 VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2055 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2751
Practice Address - Country:US
Practice Address - Phone:540-667-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty