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1083877963
CHARLENE A ELLSWORTH
RIVERSIDE, RI
NPI
1083877963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD14570)
Enumeration Date
2008-07-09
Last Update Date
2019-03-01
Business Address
CHARLENE A ELLSWORTH MD
375 WAMPANOAG TRL SUITE 301
RIVERSIDE, RI 02915-2232
Phone number: 401-649-4050
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Mailing Address
CHARLENE A ELLSWORTH MD
110 ELM ST
PROVIDENCE, RI 02903-4626
Phone number: 877-771-7401
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