Dr ALEX ETIENNE MD is a female medical professional, specializing in Internal Medicine. She graduated in 1996 from Brown University Program In Medicine.
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE
RI
029084728
Tel:
| Npi | 1447221866 |
| Pac Id | 4385662436 |
| Professional Enrollment Id | I20051107000859 |
| Last Name | ETIENNE |
| First Name | ALEX |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | ADDICTION MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | ADDICTION MEDICINE |
| Organization Legal Name | PROSPECT CHARTERCARE RWMC, LLC |
| Group Practice Pac Id | 0547492696 |
| Number Of Group Practice Members | 67 |
| Line 1 Street Address | 825 CHALKSTONE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 029084728 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 410004 |
| Hospital Affiliation Lbn 1 | ROGER WILLIAMS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 410005 |
| Hospital Affiliation Lbn 2 | OUR LADY OF FATIMA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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