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General NPI Number Information
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NPI Number | 1053708560
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Entity Type | Individual
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Provider Name | ALEXANDER STURGIS MACOMBER FYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 270 BELLEVUE AVE STE 244
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City | NEWPORT
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State | RI
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Zip | 02840-3516
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Country | US
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Telephone | 401-341-9257
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Fax | 855-293-1908
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Provider Business Mailing Address
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Address Line | 270 BELLEVUE AVE STE 244
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City | NEWPORT
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State | RI
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Zip | 02840-3516
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Country | US
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Telephone | 401-341-9257
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Fax | 855-293-1908
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30265
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD19615
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License Number State | RI
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