MEDICARE: SANTA D'ALESSIO MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1801202551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA D'ALESSIO MD PC

Provider Business Mailing Address
First Line	:	2055 VALLEY AVE
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2751
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 VALLEY AVE
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2751
Country	:	US
Telephone Number	:	540-667-7200
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	SANTA D'ALESSIO
Credential	:	MD
Telephone Number	:	540-667-7200

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	07/02/2014

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