Individual
ALESSANDRO CANCELLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7225
(502) 636-8032
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261686
MA
207P00000X
Emergency Medicine Physician
Primary
57391
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102618A
—
MA
Enumeration date
03/20/2012
Last updated
02/04/2026
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