Active NPIIndividual provider

Dr. Gary L Waterman, DO

Dermatology in Middletown, Rhode Island

NPI Number1982632527
Practice location
102 Valley RD, Middletown, RI 02842-5237
Fax
401-239-1793
Last updated
August 24, 2021

Gary Lee Waterman is a Dermatology based in Middletown, RI. Gary Lee Waterman practices in Middletown, RI and has the professional credentials of DO. The NPI Number for Gary Lee Waterman is 1982632527 and holds a License No. OS 4781 (FL). The current practice location address for Gary Lee Waterman is 102 Valley RD, Middletown, RI 02842-5237 and can be reached out via phone at 401-239-1800 and via fax at 401-239-1793.

Provider Profile Details

NPI Number
1982632527
Provider Name
Gary Lee Waterman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
102 Valley RD, Middletown, RI 02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1793
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2006
Last Update Date
August 24, 2021
Certification Date
August 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Valley RD
Middletown, RI 02842-5237
Zip
02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1793
Middletown, RI 02842Get directions →

Provider Business Mailing Address Details

Address
102 Valley RD
Middletown, RI 02842-5237
City
Middletown
State
RI
Zip
02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1793

License Information

License Number (1)
OS 4781
License State (1)
FL
Taxonomy (1)
Dermatology, Procedural Dermatology · 207NS0135X
License Number (2)
OS005797L
License State (2)
PA
Taxonomy (2)
Dermatology · 207N00000X · Primary
License Number (3)
DO01051
License State (3)
RI
Taxonomy (3)
Dermatology · 207N00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary L Waterman, DO?

The NPI number of Dr. Gary L Waterman, DO is 1982632527. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary L Waterman, DO?

Dr. Gary L Waterman, DO is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in FL under license number OS 4781.

Where does Dr. Gary L Waterman, DO practice?

The practice location is 102 Valley RD, Middletown, RI 02842-5237. The office can be reached at 401-239-1800 (phone) or 401-239-1793 (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 1982632527 directly on the NPPES registry website.

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