person
Stephen R Ellin, MD
Diagnostic Radiology Physician in North Providence, Rhode Island
NPI 1073532545

Stephen R Ellin is a Diagnostic Radiology Physician based in Providence, RI and is specialized in Diagnostic Radiology. Stephen R Ellin practices in North Providence, RI and has the professional credentials of MD. The NPI Number for Stephen R Ellin is 1073532545 and holds a License No. MD04990 (Rhode Island).

The current practice location address for Stephen R Ellin is 200 High Service Ave, North Providence, RI and can be reached out via phone at 401-456-4215 and via fax at 401-456-3019. You can also correspond with Stephen R Ellin through the mailing address at 21 PEACE ST, PROVIDENCE, RI - 02907-1510 (mailing address contact number: 401-456-4215).

Location: 200 High Service Ave, North Providence, RI, 02907-1510
person
Provider Profile Details
NPI Number
1073532545
Provider Name
Stephen R Ellin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 High Service Ave, North Providence, RI, 02907-1510
Phone Number
401-456-4215
Fax Number
401-456-3019
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0097753 05 RI
2097478 05 MA
institution
Provider Business Practice Location Address Details
Address
200 High Service Ave
City
State
Zip
02904-5113
Phone Number
401-456-4215
Fax Number
401-456-3019
person
Provider Business Mailing Address Details
Address
21 Peace St
City
State
Zip
02907-1510
Phone Number
401-456-4215
Fax Number
401-456-3019
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD04990 (Rhode Island)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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