Individual provider · Type 1 NPI
Stephen R. Ellin, MD
Diagnostic Radiology Physician · North Providence, RI
NPI number
1073532545
Active
Practice location
200 High Service Ave, Radiology Department
North Providence, RI 02904-5113
Fax (401) 456-3019
Mailing address
21 Peace St, Suite 251 East
Providence, RI 02907-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | MD04990 (RI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1073532545
Stephen R. Ellin, MD's National Provider Identifier is 1073532545, issued on Jul 18, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in North Providence, RI. The record was last updated on Oct 19, 2011.