Provider Demographics
NPI:1477693703
Name:ELLEN H. FRANKEL, MD, INC
Entity Type:Organization
Organization Name:ELLEN H. FRANKEL, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-943-0761
Mailing Address - Street 1:750 RESERVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4423
Mailing Address - Country:US
Mailing Address - Phone:401-943-0761
Mailing Address - Fax:401-943-5737
Practice Address - Street 1:750 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4423
Practice Address - Country:US
Practice Address - Phone:401-943-0761
Practice Address - Fax:401-943-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI174400000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIA36852Medicare UPIN
RIQ03707Medicare UPIN
RIC90371Medicare UPIN
RIS79773Medicare UPIN