Individual
JORGE A ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 STATION AVE, SOUTH YARMOUTH, MA 02664-1218
(508) 778-4777
(508) 771-9555
Mailing address
297 NORTH ST STE 221, HYANNIS, MA 02601-5133
(508) 862-7777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3989691
AETNA
—
01
—
470367
TUFTS
—
01
—
491568
USFHP
—
01
—
AA80003
PILGRIM
—
01
—
J28944
BCBS
MA
Enumeration date
02/24/2006
Last updated
06/18/2019
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