NPI 1073532545

Stephen R Ellin, MD

Practitioner Diagnostic Radiology Physician North Providence, RI

Practice location

Address: 200 High Service Ave Radiology Department, North Providence, RI 02904-5113
Phone: (401) 456-4215
Fax: (401) 456-3019
Mailing address: 21 Peace St Suite 251 East, Providence, RI 02907-1510

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD04990 (RI)

Other Radiology providers in Rhode Island →

Registry record

NPI: 1073532545
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.