Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 33638 | NC |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 33638 | NC |
NPI | 1093798332 |
---|---|
Provider Name | Dr. Donald Frank D'alessandro |
First Address | Charlotte, NC 28209-3239 |
Second Address | Charlotte, NC 28207-1101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 12/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093798332 | (05) | NC |
E04316 | (02) | NC |
N33638 | (05) | SC |