Individual
ELIZABETH L ALTENHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HIGHLAND AVE, STE 308, PROVIDENCE, RI 02906-2740
(401) 553-8360
(401) 421-7721
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD6545
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002173
—
RI
Enumeration date
06/21/2005
Last updated
01/29/2020
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