Jack R Bevivino, MD - Providence, RI

Jack R Bevivino, MD

Plastic Surgery Physician in Providence, Rhode Island

NPI 1780705707

Jack R Bevivino is a Plastic Surgery Physician based in Providence, RI. Jack R Bevivino practices in Providence, RI and has the professional credentials of MD. The NPI Number for Jack R Bevivino is 1780705707 and holds a License No. RIMD05259 (Rhode Island).

The current practice location address for Jack R Bevivino is 120 Dudley Street, Providence, RI and can be reached out via phone at 401-521-9290 and via fax at 401-521-9297.

Location: 120 Dudley Street, Providence, RI, 02905-2431

NPI Number

1780705707

Provider Name

Jack R Bevivino

Credential

Provider Entity Type

Individual

Gender

Male

Address

120 Dudley Street, Providence, RI, 02905-2431

Phone Number

401-521-9290

Fax Number

401-521-9297

Provider Enumeration Date

04/03/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1300124	01	RI	UNITED HEALTH CARE
9002112	05	RI
21126	01	RI	BCBS

Address

120 Dudley Street

City

Providence

State

Rhode Island

Zip

02905-2431

Phone Number

401-521-9290

Fax Number

401-521-9297

Address

120 Dudley Street

City

Providence

State

Rhode Island

Zip

02905-2431

Phone Number

401-521-9290

Fax Number

401-521-9297

Type

Allopathic & Osteopathic Physicians

Classification

Plastic Surgery

Speciality

Taxonomy

208200000X

License No.

RIMD05259 (Rhode Island)

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

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