East Side Primary Care Providence LLC

NPI #1558816330 in Providence, Rhode Island

Provider Information

NPI Number
1558816330
Entity Type
Organization
Organization Name
East Side Primary Care Providence LLC
Primary Specialty
Internal Medicine
Enumeration Date
Aug 22, 2016
Last Updated
Aug 22, 2016

Practice Location

Address
1195 N MAIN ST
ZIP Code
02904-1824
Phone
(401) 334-3105

Authorized Official

Name
FRANK M D'ALESSANDRO, M.D.
Title
OWNER
Phone
(401) 578-8816

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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