Individual
JENNIFER R ADELSON-MITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 SUMMIT AVE, FAIN BLDG, SUITE E, PROVIDENCE, RI 02906-2853
(401) 793-2928
(401) 793-7401
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD09548
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100016524
RAILROAD MEDICARE
RI
05
—
7005910
—
RI
Enumeration date
05/20/2006
Last updated
03/27/2026
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