Surgical & Cosmetic Dermatology Of Rhode Island, LLC
Dermatology, MOHS-Micrographic Surgery in Providence, Rhode Island
1770770547- Practice location
- 1 Randall Sq, Suite 306, Providence, RI 02904-2709
- Phone
- 401-751-7546
- Fax
- 401-751-6888
- Last updated
- March 4, 2016
Surgical & Cosmetic Dermatology Of Rhode Island, LLC is a healthcare organization based in Providence, RI. Surgical & Cosmetic Dermatology Of Rhode Island, LLC practices in Providence, RI. The NPI Number for Surgical & Cosmetic Dermatology Of Rhode Island, LLC is 1770770547 and holds a License No. MD10753 (RI). The current practice location address for Surgical & Cosmetic Dermatology Of Rhode Island, LLC is 1 Randall Sq, Suite 306, Providence, RI 02904-2709 and can be reached out via phone at 401-751-7546 and via fax at 401-751-6888.
Provider Profile Details
- NPI Number
- 1770770547
- Provider Name
- Surgical & Cosmetic Dermatology Of Rhode Island, LLC
- Provider Entity Type
- Organization
- Address
- 1 Randall Sq, Suite 306, Providence, RI 02904-2709
- Phone Number
- 401-751-7546
- Fax Number
- 401-751-6888
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Organization Subpart
- No
- Authorized Official
- Dr. Marina Kuperman-Beade, MD · Owner · 401-751-7546
- Provider Enumeration Date
- September 26, 2007
- Last Update Date
- March 4, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Randall Sq
Suite 306
Providence, RI 02904-2709 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-2709
- Phone Number
- 401-751-7546
- Fax Number
- 401-751-6888
Provider Business Mailing Address Details
- Address
- 1 Randall Sq
Suite 306
Providence, RI 02904-2709 - City
- Providence
- State
- RI
- Zip
- 02904-2709
- Phone Number
- 401-751-7546
- Fax Number
- 401-751-6888
License Information
- License Number
- MD10753
- License State
- RI
- Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology, MOHS-Micrographic Surgery providers near Providence, RI
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- Dr. Michael J Yablonsky, MDDermatology, MOHS-Micrographic Surgery · NPI 1811960503
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- Patrick J Main, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1952122996
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Frequently Asked Questions
What is the NPI number of Surgical & Cosmetic Dermatology Of Rhode Island, LLC?
The NPI number of Surgical & Cosmetic Dermatology Of Rhode Island, LLC is 1770770547. It was assigned on September 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Surgical & Cosmetic Dermatology Of Rhode Island, LLC?
Surgical & Cosmetic Dermatology Of Rhode Island, LLC is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in RI under license number MD10753.
Where does Surgical & Cosmetic Dermatology Of Rhode Island, LLC practice?
The practice location is 1 Randall Sq, Suite 306, Providence, RI 02904-2709. The office can be reached at 401-751-7546 (phone) or 401-751-6888 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770770547 directly on the NPPES registry website.