| Stephen R Ellin, MD | |
|
200 High Service Ave, Radiology Department, North Providence, RI 02904-5113 | |
| (401) 456-4215 | |
| (401) 456-3019 |
| Full Name | Stephen R Ellin |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 200 High Service Ave, North Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073532545 | NPI | - | NPPES |
| 0097753 | Medicaid | RI | |
| 2097478 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD04990 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Ellin, MD 21 Peace St, Suite 251 East, Providence, RI 02907-1510 Ph: (401) 456-4215 | Stephen R Ellin, MD 200 High Service Ave, Radiology Department, North Providence, RI 02904-5113 Ph: (401) 456-4215 |
Abdol Hamid Shahinfar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, Radiology Department, North Providence, RI 02904 Phone: 413-456-4215 Fax: 401-456-3019 | |
James F Aiken, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, Radiology Department, North Providence, RI 02904 Phone: 401-456-4215 Fax: 401-456-3019 | |
Steven Weisblatt, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Avenue, North Providence, RI 02904 Phone: 401-572-3120 Fax: 401-572-3351 | |
Warren W Bovie, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, Radiology Department, North Providence, RI 02904 Phone: 401-456-4215 Fax: 401-456-3019 | |
Nicholas D Iannuccilli, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Smith St, Ste 6, North Providence, RI 02911 Phone: 401-353-1600 |