Individual
ELSA ERIKA CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-4000
(401) 427-7795
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD11349
RI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD11349
RI
208000000X
Pediatrics Physician
MD11349
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD11349
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01/14/2010
NHPRI
RI
01
—
01/27/2009
TUFTS HEALTH PLAN
MA
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
08/28/2007
BCBS
RI
01
—
1205944956
NPI
RI
01
—
1962455022
UEMF GROUP NPI
RI
01
—
3790032562
MEDICARE NGS
RI
05
—
9003256
—
MA
05
—
9003256
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
08/25/2006
Last updated
08/21/2018
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