Provider Demographics
NPI:1528133808
Name:RUSSELL A SETTIPANE MD
Entity type:Organization
Organization Name:RUSSELL A SETTIPANE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SETTIPANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-847-4510
Mailing Address - Street 1:850 AQUIDNECK AVENUE
Mailing Address - Street 2:SUITE B3A
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842
Mailing Address - Country:US
Mailing Address - Phone:401-847-4510
Mailing Address - Fax:401-846-8370
Practice Address - Street 1:850 AQUIDNECK AVENUE
Practice Address - Street 2:SUITE B3A
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842
Practice Address - Country:US
Practice Address - Phone:401-847-4510
Practice Address - Fax:401-846-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI6891207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty