SearchRhode Island207RA0401X

Alex Etienne, MD

NPI 1447221866 · on the registry since 2006

Practice

Address
825 Chalkstone Ave
Providence, RI 02908
Phone
(401) 456-2363
Fax
(401) 456-6744
Organisation at this address
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Roger Williams Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
249

Additional practice sites

  • 345 Blackstone Blvd, Providence, RI

Registry record

Primary taxonomy
207RA0401X
207RA0401X
Also registered as
207R00000X
208M00000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island