Individual
ELLIOT JASON FELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6375
Mailing address
345 BLACKSTONE BLVD, BUTLER CAMPUS, BOX G-BH, PROVIDENCE, RI 02909
(401) 455-6375
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
LP04383
RI
2084P0800X
Psychiatry Physician
Primary
MD17590
RI
Other
Enumeration date
06/26/2018
Last updated
07/06/2021
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