Surgical & Cosmetic Dermatology Of Rhode Island, Llc in Providence - Mohs-micrographic Surgery
Surgical & Cosmetic Dermatology Of Rhode Island, Llc - NPI 1770770547
Surgical & Cosmetic Dermatology Of Rhode Island, Llc is a Mohs-micrographic Surgery in Providence, Rhode Island. Surgical & Cosmetic Dermatology Of Rhode Island, Llc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Surgical & Cosmetic Dermatology Of Rhode Island, Llc is 1770770547. The last update date is 2016-03-04.
Surgical & Cosmetic Dermatology Of Rhode Island, Llc's current location address is 1 Randall Sq, Providence, Rhode Island. You can contact this provider via phone number 4017517546 and fax number 4017516888. The mailing address for Surgical & Cosmetic Dermatology Of Rhode Island, Llc is 1 Randall Sq, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgical & Cosmetic Dermatology Of Rhode Island, Llc |
|---|---|
| Address | 1 Randall Sq, Providence, Rhode Island |
| Phone Number | 4017517546 |
| Fax Number | 4017516888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kuperman-Beade Marina |
| Credentials | M.D. |
| Telephone Number | 4017517546 |
NPI Number Detail
| NPI Number | 1770770547 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2016-03-04 |
Provider Mailing Address Detail
| Address | 1 Randall Sq |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29042709 |
| Phone Number | 4017517546 |
| Fax Number | 4017516888 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | MD10753 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD6437 | RI | RAILROAD MEDICARE | |
| 9003758 | RI | -- |
Post Comment/ Review Below
What is the Surgical & Cosmetic Dermatology Of Rhode Island, Llc's unique identification number?
The Surgical & Cosmetic Dermatology Of Rhode Island, Llc has been assigned the NPI (National Provider Identifier) Number 1770770547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Surgical & Cosmetic Dermatology Of Rhode Island, Llc located?
The Surgical & Cosmetic Dermatology Of Rhode Island, Llc is located at 1 Randall Sq, Providence, RI 29042709.
What is Surgical & Cosmetic Dermatology Of Rhode Island, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Surgical & Cosmetic Dermatology Of Rhode Island, Llc is Mohs-micrographic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Nd0101X.
When was the Surgical & Cosmetic Dermatology Of Rhode Island, Llc's 1770770547 issued?
The Surgical & Cosmetic Dermatology Of Rhode Island, Llc's 1770770547 was issued on 2007-09-26.
As of what date were the details pertaining to Surgical & Cosmetic Dermatology Of Rhode Island, Llc last refreshed?
The information related to the Surgical & Cosmetic Dermatology Of Rhode Island, Llc, including its address, specialty, and other relevant details, was last updated on 2016-03-04.
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