Organization
AGAPE PRIMARY CARE AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MICHAEL D'ALESSANDRO M.D. (OWNER/DIRECTOR)
(401) 654-4433
Entity
Organization
Contact information
Practice address
1195 N MAIN ST, PROVIDENCE, RI 02904-1824
(401) 654-4433
Mailing address
1195 N MAIN ST, PROVIDENCE, RI 02904-1824
(401) 654-4433
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD10894
RI
207R00000X
Internal Medicine Physician
Primary
MD08003
RI
Other
Enumeration date
05/04/2008
Last updated
06/03/2008
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