Provider Demographics
NPI:1841397981
Name:GAINES, ALAN D (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:D
Last Name:GAINES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:106 NATE WHIPPLE HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1403
Mailing Address - Country:US
Mailing Address - Phone:401-658-1800
Mailing Address - Fax:401-658-2322
Practice Address - Street 1:106 NATE WHIPPLE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1403
Practice Address - Country:US
Practice Address - Phone:401-658-1800
Practice Address - Fax:401-658-2322
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD07370207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology