Rhode Island Dermatology Obs
Clinic/Center, Ambulatory Surgical in Lincoln, RI. Organization (NPI-2).
NPI number1235202201
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1235202201
- Entity type
- Organization (NPI-2)
- Legal business name
- Rhode Island Dermatology Obs
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | RI | Yes |
Practice location
3 Wake Robin RdUnit 5
Lincoln, RI 02865-4208
Phone 401-475-9140 · Fax 401-475-9143
Mailing address
3 Wake Robin RdUnit 5
Lincoln, RI 02865-4208
Phone 401-475-9140 · Fax 401-475-9143
Authorized official
Susan Schumacher
Billing Manager
4014759140
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