Provider Demographics
NPI:1427079144
Name:D'ALESSANDRO, ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:D'ALESSANDRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:GLENMOORE
Mailing Address - State:PA
Mailing Address - Zip Code:19343-1040
Mailing Address - Country:US
Mailing Address - Phone:610-942-9990
Mailing Address - Fax:610-942-4174
Practice Address - Street 1:4 ANDOVER RD
Practice Address - Street 2:
Practice Address - City:GLENMOORE
Practice Address - State:PA
Practice Address - Zip Code:19343-1040
Practice Address - Country:US
Practice Address - Phone:610-942-9990
Practice Address - Fax:610-942-4174
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009379111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV04196Medicare UPIN
PA088963Medicare ID - Type Unspecified