Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 027193 | CT |
Y | 2084N0400X | Neurologist | 027193 | CT |
NPI | 1174573612 |
---|---|
Provider Name | Dr. Anthony G. Alessi |
First Address | Norwich, CT 06360-2700 |
Second Address | Norwich, CT 06360-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 22/08/2014 |