Individual
DR. CARLY ANNIE STILPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD19936
RI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD19936
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
05/21/2024
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