Healthcare Provider Details

I. General information

NPI: 1780841023
Provider Name (Legal Business Name): INTERNAL MEDICINE ENDOCRINOLOGY ASSOC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SMITH ST
NORTH PROVIDENCE RI
02911-2947
US

IV. Provider business mailing address

1515 SMITH ST
NORTH PROVIDENCE RI
02911-2947
US

V. Phone/Fax

Practice location:
  • Phone: 401-353-1110
  • Fax:
Mailing address:
  • Phone: 401-353-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK B D'ALESSANDRO
Title or Position: OWNER
Credential: MD
Phone: 401-353-1110