Individual
MATTHEW JON D'ALESSIO
Active
Individual
MATTHEW JON D'ALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME 96070
FL
2086X0206X
Surgical Oncology Physician
Primary
ME 96070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119388
—
IL
01
—
P00472576
RAILROAD MEDICARE
IL
Enumeration date
10/06/2006
Last updated
09/09/2010
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