Individual
DEREK ADRIAN ANDELLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3461 S COUNTY TRL, E GREENWICH, RI 02818-1465
(401) 471-6760
(401) 471-6765
Mailing address
3461 S COUNTY TRL, E GREENWICH, RI 02818-1465
(401) 471-6760
(401) 471-6765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LP01566
RI
Other
Enumeration date
06/26/2009
Last updated
12/20/2013
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