Individual
DR. MARIO D'ALESSANDRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-1851
(814) 827-1156
Mailing address
9741 PEACH ST, WATERFORD, PA 16441-4035
(814) 796-2401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS 004017-L
PA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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