University Plastic Surgeons Inc in Providence - Plastic Surgery
University Plastic Surgeons Inc - NPI 1093882615
University Plastic Surgeons Inc is a Plastic Surgery in Providence, Rhode Island. University Plastic Surgeons Inc practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for University Plastic Surgeons Inc is 1093882615. The last update date is 2020-08-22.
University Plastic Surgeons Inc's current location address is 120 Dudley Street, Providence, Rhode Island. You can contact this provider via phone number 4015219290 and fax number 4015219297. The mailing address for University Plastic Surgeons Inc is 120 Dudley Street, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
Provider Organization | University Plastic Surgeons Inc |
---|---|
Address | 120 Dudley Street, Providence, Rhode Island |
Phone Number | 4015219290 |
Fax Number | 4015219297 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Bevivino R Jack |
Credentials | MD |
Telephone Number | 4015219290 |
NPI Number Detail
NPI Number | 1093882615 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 120 Dudley Street |
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City | Providence |
State | Rhode Island (RI) |
Post Code | 2905 |
Phone Number | 4015219290 |
Fax Number | 4015219297 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
---|---|
Taxonomy | 208200000X |
Licence No | RIMD05259 |
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 c |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9002112 | RI | -- | |
1300124 | RI | UNITED HEALTH CARE | |
21126 | RI | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to University Plastic Surgeons Inc by the Centers for Medicare & Medicaid Services (CMS)?
The University Plastic Surgeons Inc has been assigned the NPI (National Provider Identifier) 1093882615. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where University Plastic Surgeons Inc is physically located?
The University Plastic Surgeons Inc is situated at the following address: 120 Dudley Street, Providence, RI 2905.
What is University Plastic Surgeons Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for University Plastic Surgeons Inc is Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 208200000X.
When did the University Plastic Surgeons Inc receive its 1093882615?
The University Plastic Surgeons Inc was issued its 1093882615 on 2006-11-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to University Plastic Surgeons Inc last refreshed?
The information related to the University Plastic Surgeons Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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