Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MORDECAI JEREMIAH STOLK, MD
ActiveNephrology · EAST PROVIDENCE, RI
Registration Details
- NPI Number
- 1124225594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (18.878886447618 yrs)
- Last Updated
- Oct 29, 2009
- Licenses
-
MD13046 (RI)241535 (MA)
Practice Information
- Address
-
318 WATERMAN AVEEAST PROVIDENCE, RI, 029143525Browse RI providers · Browse ZIP 02914
- Phone
- 4014385950
- Fax
- 4014356700
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in EAST PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL J MONSOUR | MD | 1528052677 |
| STEVEN B ZIPIN | MD | 1962485490 |
| MICHAEL A THURSBY | DO | 1669455192 |
| CHRISTOPHER JOSEPH COSGROVE | MD | 1558344085 |
| CHARLES E MCCOY | MD | 1922081447 |
| GEORGE LEE | MD | 1235113358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.