Individual
STEPHAN P PIRNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2209
(401) 845-1190
(401) 845-1073
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD17534
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114459138
—
RI
Enumeration date
03/29/2017
Last updated
01/08/2025
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