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Individual

STEPHEN MICHAEL SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
43 JEFFERSON BLVD, SUITE 2, WARWICK, RI 02888-1027
(401) 941-2830
(401) 941-6886
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09755
RI
207R00000X
Internal Medicine Physician
Primary
RI09755
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730152505
RI
05
7000597
RI
Enumeration date
02/10/2006
Last updated
03/06/2026
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