NPI 1073532545 · live from the CMS NPI Registry
Stephen R Ellin, MD
Radiology, Diagnostic Radiology in North Providence, RI. National Provider Identifier 1073532545, active.
NPI record
| NPI | 1073532545 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 200 High Service Ave, Radiology Department, North Providence, RI 02904 |
| Practice phone | 401-456-4215 |
| Mailing address | 21 Peace St, Suite 251 East, Providence, RI 02907 |
| Enumerated | July 18, 2006 |
| Last updated | October 19, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD04990 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.