Provider Demographics
NPI:1174573612
Name:ALESSI, ANTHONY G (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:G
Last Name:ALESSI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:330 WASHINGTON ST
Mailing Address - Street 2:SUITE 530
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2700
Mailing Address - Country:US
Mailing Address - Phone:860-889-3227
Mailing Address - Fax:860-889-3809
Practice Address - Street 1:330 WASHINGTON ST
Practice Address - Street 2:SUITE 530
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2700
Practice Address - Country:US
Practice Address - Phone:860-889-3227
Practice Address - Fax:860-889-3809
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT027193204C00000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT130000229Medicare ID - Type UnspecifiedMEDICARE PROVIDER #