Individual
DR. NATHANIEL JOSEF JELLINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1672 S COUNTY TRL, SUITE 101, EAST GREENWICH, RI 02818-5098
(404) 885-6647
(401) 885-6639
Mailing address
1672 S COUNTY TRL STE 101, EAST GREENWICH, RI 02818-5099
(404) 885-6647
(401) 885-6639
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11514
RI
207N00000X
Dermatology Physician
220846
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
11514
RI
207ND0101X
MOHS-Micrographic Surgery Physician
220846
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NJ53855
—
RI
Enumeration date
07/13/2006
Last updated
04/24/2026
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