Healthcare Provider Details

I. General information

NPI: 1295725141
Provider Name (Legal Business Name): ALESSANDRO PAPA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 FRIENDSHIP ST SUITE 360
NEWPORT RI
02840-2200
US

IV. Provider business mailing address

19 FRIENDSHIP ST SUITE 360
NEWPORT RI
02840-2200
US

V. Phone/Fax

Practice location:
  • Phone: 401-845-1998
  • Fax: 401-848-6510
Mailing address:
  • Phone: 401-845-1998
  • Fax: 401-848-6510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberRI7288
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: