Individual
DR. LOUIS JOHN DALESSANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2711 X RAY DR, GASTONIA, NC 28054-7491
(704) 671-6438
(704) 671-6436
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
9400037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660001575
RAILROAD MEDICARE
NC
05
—
8926769
—
NC
05
—
N00037
—
SC
Enumeration date
09/30/2005
Last updated
10/19/2007
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