ALEX ETIENNE

PROVIDENCE, RI
NPI1447221866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
(Licence: RI  MD11719)
Additional Taxonomies207R00000X Internal Medicine
(Licence: RI  MD11719)
208M00000X Hospitalist
(Licence: RI  MD11719)
Enumeration Date2006-02-01
Last Update Date2012-03-13
Business Address
-- ALEX ETIENNE MD
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2363
Mailing Address
-- ALEX ETIENNE MD
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2363