Individual
DR. ALEXANDER SCAGNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
469 CENTERVILLE RD STE 103, WARWICK, RI 02886-4355
(401) 821-4100
(401) 823-9180
Mailing address
469 CENTERVILLE RD STE 103, WARWICK, RI 02886-4355
(401) 821-4100
(401) 823-9180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7706
RI
2084P0800X
Psychiatry Physician
Primary
MD7706
RI
2084P0804X
Child & Adolescent Psychiatry Physician
7706
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030604
RI BLUE CROSS PROVIDER #
RI
01
—
1507947
UNITED HEALTH PROVIDER #
RI
01
—
201447
RI BLUE CHIP PROVIDER #
RI
05
—
7010423
—
RI
Enumeration date
03/22/2007
Last updated
01/29/2019
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