Provider Demographics
NPI:1811910334
Name:ARCAND, ALFRED A (MD)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:A
Last Name:ARCAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1079 MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-3715
Mailing Address - Country:US
Mailing Address - Phone:401-828-2663
Mailing Address - Fax:401-822-0490
Practice Address - Street 1:1079 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-3715
Practice Address - Country:US
Practice Address - Phone:401-828-2663
Practice Address - Fax:401-822-0490
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI3510207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7005965Medicaid
RI000179OtherBLUE CHIP
RI162-3OtherBLUE CROSS/BLUE SHIELD
RI01-00101OtherUNITED HEALTHCARE
RI7005965Medicare PIN
RI01-00101OtherUNITED HEALTHCARE