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

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD04990 (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.