Elijah Page, LCDP

NPI 1689426314 · on the registry since 2024 · sole proprietor

Practice

Address: 98 Sumter St
Providence, RI 02907
Phone: (401) 484-0494
Organisation at this address: Convocure Therapeutics Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

111 Howard Ave, Cranston, RI
530 N Main St, Providence, RI

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: RI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-03

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