2 Dudley Street Operatory LLC
Surgery, Plastic and Reconstructive Surgery in Providence, RI. Organization (NPI-2).
NPI number1487761177
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1487761177
- Entity type
- Organization (NPI-2)
- Legal business name
- 2 Dudley Street Operatory LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – |
Practice location
2 Dudley StSuite 465
Providence, RI 02905-3236
Phone 401-831-0646 · Fax 401-831-0647
Mailing address
2 Dudley StSuite 465
Providence, RI 02905-3236
Phone 401-831-0646 · Fax 401-831-0647
Authorized official
Arnold-Peter C Weiss
Partner
4014571522
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