Provider Demographics
NPI:1013964964
Name:BIANCHI, ALESSANDRO (DO)
Entity type:Individual
Prefix:
First Name:ALESSANDRO
Middle Name:
Last Name:BIANCHI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5936 LIMESTONE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8931
Mailing Address - Country:US
Mailing Address - Phone:302-239-4500
Mailing Address - Fax:302-489-5000
Practice Address - Street 1:5936 LIMESTONE RD STE 202
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8931
Practice Address - Country:US
Practice Address - Phone:302-239-4500
Practice Address - Fax:302-489-5000
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0006465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG01407F07Medicare ID - Type Unspecified