Lionel G Bercovitch, MD
Dermatology in Providence, Rhode Island
1962473314- Practice location
- 593 Eddy Street,, Apc-10, Providence, RI 02903
- Phone
- 401-444-7959
- Fax
- 401-444-7144
- Last updated
- March 10, 2026
Lionel G Bercovitch is a Dermatology based in Providence, RI. Lionel G Bercovitch practices in Providence, RI and has the professional credentials of MD. The NPI Number for Lionel G Bercovitch is 1962473314 and holds a License No. MD05283 (RI). The current practice location address for Lionel G Bercovitch is 593 Eddy Street,, Apc-10, Providence, RI 02903 and can be reached out via phone at 401-444-7959 and via fax at 401-444-7144.
Provider Profile Details
- NPI Number
- 1962473314
- Provider Name
- Lionel G Bercovitch
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 593 Eddy Street,, Apc-10, Providence, RI 02903
- Phone Number
- 401-444-7959
- Fax Number
- 401-444-7144
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2006
- Last Update Date
- March 10, 2026
- Certification Date
- March 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy Street,
Apc-10
Providence, RI 02903 - City
- Providence
- State
- Rhode Island
- Zip
- 02903
- Phone Number
- 401-444-7959
- Fax Number
- 401-444-7144
Provider Business Mailing Address Details
- Address
- 15 La Salle Sq
Providence, RI 02903-1814 - City
- Providence
- State
- RI
- Zip
- 02903-1814
- Phone Number
- 401-444-6779
- Fax Number
- 401-444-6912
License Information
- License Number (1)
- MD05283
- License State (1)
- RI
- Taxonomy (1)
- Dermatology · 207N00000X · Primary
- License Number (2)
- 36392
- License State (2)
- MA
- Taxonomy (2)
- Dermatology, Clinical & Laboratory Dermatological Immunology · 207NI0002X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Providence, RI
View all Dermatology providers in Providence →Frequently Asked Questions
What is the NPI number of Lionel G Bercovitch, MD?
The NPI number of Lionel G Bercovitch, MD is 1962473314. It was assigned on February 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Lionel G Bercovitch, MD?
Lionel G Bercovitch, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in RI under license number MD05283.
Where does Lionel G Bercovitch, MD practice?
The practice location is 593 Eddy Street,, Apc-10, Providence, RI 02903. The office can be reached at 401-444-7959 (phone) or 401-444-7144 (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 1962473314 directly on the NPPES registry website.