Provider Demographics
NPI:1053470476
Name:SETTIPANE, RUSSELL ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:RUSSELL
Middle Name:ANTHONY
Last Name:SETTIPANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 AQUIDNECK AVE, #B3A
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-7280
Mailing Address - Country:US
Mailing Address - Phone:401-847-4510
Mailing Address - Fax:401-846-8370
Practice Address - Street 1:850 AQUIDNECK AVE, #B3A
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7280
Practice Address - Country:US
Practice Address - Phone:401-847-4510
Practice Address - Fax:401-846-8370
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI6891207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007008749Medicare PIN
RI039020151Medicare PIN
RI007001698Medicare PIN
RI007008085Medicare PIN