Active NPIIndividual provider

Derek A Andelloux, MD

Family Medicine in E Greenwich, Rhode Island

NPI Number1013145275
Practice location
3461 S County Trl, E Greenwich, RI 02818-1465
Fax
401-471-6765
Last updated
December 20, 2013

Derek Adrian Andelloux is a Family Medicine based in E Greenwich, RI. Derek Adrian Andelloux practices in E Greenwich, RI and has the professional credentials of MD. The NPI Number for Derek Adrian Andelloux is 1013145275 and holds a License No. LP01566 (RI). The current practice location address for Derek Adrian Andelloux is 3461 S County Trl, E Greenwich, RI 02818-1465 and can be reached out via phone at 401-471-6760 and via fax at 401-471-6765.

Provider Profile Details

NPI Number
1013145275
Provider Name
Derek Adrian Andelloux
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3461 S County Trl, E Greenwich, RI 02818-1465
Phone Number
401-471-6760
Fax Number
401-471-6765
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
-- Derek Adrian Mailloux (Former Name)
Provider Enumeration Date
June 26, 2009
Last Update Date
December 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
3461 S County Trl
E Greenwich, RI 02818-1465
Zip
02818-1465
Phone Number
401-471-6760
Fax Number
401-471-6765
E Greenwich, RI 02818Get directions →

Provider Business Mailing Address Details

Address
3461 S County Trl
E Greenwich, RI 02818-1465
City
E Greenwich
State
RI
Zip
02818-1465
Phone Number
401-471-6760
Fax Number
401-471-6765

License Information

License Number
LP01566
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Derek A Andelloux, MD?

The NPI number of Derek A Andelloux, MD is 1013145275. It was assigned on June 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Derek A Andelloux, MD?

Derek A Andelloux, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP01566.

Where does Derek A Andelloux, MD practice?

The practice location is 3461 S County Trl, E Greenwich, RI 02818-1465. The office can be reached at 401-471-6760 (phone) or 401-471-6765 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013145275 directly on the NPPES registry website.

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