Individual provider · NPI-1

Elizabeth L Altenhein, MD

Surgery · Providence, RI

NPI number1689670044
StatusActive
Last updated in NPPESJan 29, 2020

Details

NPI
1689670044
Entity type
Individual (NPI-1)
Name
Elizabeth L Altenhein
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2005
Certification date
Jan 29, 2020
Last updated
Jan 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryMD6545RIYes

Practice location

100 Highland Ave
Ste 308
Providence, RI 02906-2740

Phone 401-553-8360 · Fax 401-421-7721

Mailing address

Po Box 16149
Rumford, RI 02916-0697

Phone 401-453-9625 · Fax 401-435-7069

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