Individual
STEPHANIE M. RUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4900
(401) 444-4288
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0337
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD15960
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
LP03404
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD15960
RI
Other
Enumeration date
06/23/2011
Last updated
03/09/2020
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