MEDICARE: ALFRED A ARCAND M.D.

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	3510	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000179	OTHER	RI	BLUE CHIP
3	162-3	OTHER	RI	BLUE CROSS/BLUE SHIELD
4	01-00101	OTHER	RI	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1811910334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFRED A ARCAND M.D.

Provider Business Mailing Address
First Line	:	1079 MAIN ST
Second Line	:	SUITE A
City	:	WEST WARWICK
State	:	RI
Zip	:	02893-3715
Country	:	US
Telephone Number	:	401-828-2663
Fax Number	:	401-822-0490

Provider Business Practice Location Address
First Line	:	1079 MAIN ST
Second Line	:	SUITE A
City	:	WEST WARWICK
State	:	RI
Zip	:	02893-3715
Country	:	US
Telephone Number	:	401-828-2663
Fax Number	:	401-822-0490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/17/2010

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Directions to “ ALFRED A ARCAND M.D.” Practice Location

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