Organization Name: | ALFRED N ROSSI MD SC |
NPI Number: | 1922269166 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALFRED N ROSSI (PRESIDENT) |
Mailing Address: | 107 Tremont St Hopedale |
State: | IL US |
Postal Code: | 617477525 |
Phone Number: | 3094494450 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |