Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD11349 | RI |
N | 207PP0204X | Pediatric Emergency Physician | MD11349 | RI |
N | 208000000X | Pediatrician | MD11349 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD11349 | RI |
NPI | 1205944956 |
---|---|
Provider Name | Elsa Erika Constantine |
First Address | Providence, RI 02940-9484 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 21/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01/14/2010 | NHPRI (01) | RI |
01/27/2009 | TUFTS HEALTH PLAN (01) | MA |
04/15/2009 | UNITED HEALTHCARE (01) | RI |
08/28/2007 | BCBS (01) | RI |
1205944956 | NPI (01) | RI |
1962455022 | UEMF GROUP NPI (01) | RI |
3790032562 | MEDICARE NGS (01) | RI |
9003256 | (05) | MA |
9003256 | (05) | RI |
939025129 | RI MEDICARE GROUP NUMBER (01) | RI |
H99271 | (02) | RI |