Individual
ELENI T PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
70 KENYON AVE, SOUTH COUNTY MEDICAL OFFICE BUILDING SUITE #212, WAKEFIELD, RI 02879
(401) 789-8912
(401) 782-8702
Mailing address
70 KENYON AVE, SOUTH COUNTY MEDICAL OFFICE BUILDING SUITE #212, WAKEFIELD, RI 02879
(401) 789-8912
(401) 782-8702
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
227
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003951
BLUE CHIP
RI
01
—
4267870001
DMERC
—
01
—
480027257
RR MCR
—
05
—
7004050
—
RI
01
—
70188
BCBS
RI
05
—
EP04169
—
RI
Enumeration date
04/26/2006
Last updated
10/07/2011
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