Charlene A Ellsworth, MD

NPI #1083877963 in Riverside, Rhode Island

Provider Information

NPI Number: 1083877963
Entity Type: Individual
Name: Charlene A Ellsworth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 9, 2008
Last Updated: Mar 1, 2019

Practice Location

Address: 375 WAMPANOAG TRL
Address 2: SUITE 301
City: Riverside
State: Rhode Island
ZIP Code: 02915-2232
Phone: (401) 649-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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