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Contact Information

DEREK A ANDELLOUX, MD
3461 S COUNTY TRL
EAST GREENWICH, RI02818-1465
 Phone: 401-471-6760
 Fax: 401-471-6765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEREK A ANDELLOUX · (Male)

NPI # 1013145275
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2009
Last updated 12/20/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • RI License # LP01566
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
  • NANTUCKET COTTAGE HOSPITAL - (Acute Care)
    57 PROSPECT STREET
    NANTUCKET, MA 02554
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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