Individual
STEPHEN CLAYTON SARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 DAVOL SQUARE, SUITE B200, PROVIDENCE, RI 02903-4762
(401) 453-3545
(401) 543-3533
Mailing address
3 DAVOL SQUARE, SUITE B200, PROVIDENCE, RI 02903-4762
(401) 453-3545
(401) 453-3533
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
71248
MA
207T00000X
Neurological Surgery Physician
Primary
MD 08444
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018978
NEIGHBORHOOD HEALTH PLAN
MA
01
—
003I05328
EDS OF CT
—
01
—
05 0501339
TAX ID
—
01
—
1156
NEIGHBORHOOD HEALTH PLAN
—
01
—
12266RIH
HARVARD PILGRIM
—
01
—
203537
BLUE CHIP
—
01
—
2060540
AETNE/ US HEALTHCARE
—
01
—
25614 2
BLUE CROSS
RI
01
—
3051790
MASS HEALTH
—
01
—
638092003
CIGNA PAL
—
01
—
7003375
EDS OF RI INDIV
—
01
—
720118301
CIGNA
—
01
—
AS8844756002
CIGNA GROUP VENDOR
—
01
—
J08735
BLUE CROSS
MA
01
—
NS34351
EDS OF RI GROUP
—
Enumeration date
12/13/2005
Last updated
03/07/2023
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