NPI 1124225594

Mordecai Jeremiah Stolk, MD

Practitioner Nephrology Physician East Providence, RI

Practice location

Address: 318 Waterman Ave, East Providence, RI 02914-3525
Phone: (401) 438-5950
Fax: (401) 435-6700

Registered specialties (2)

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X Licence MD13046 (RI)

Other Internal Medicine providers in Rhode Island →

Nephrology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X Licence 241535 (MA)

Registry record

NPI: 1124225594
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2007
Record last updated: 29 Oct 2009

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.