Surgical & Cosmetic Dermatology of Rhode Island, LLC
NPI #1770770547 in Providence, Rhode Island
Provider Information
- NPI Number
- 1770770547
- Entity Type
- Organization
- Organization Name
- Surgical & Cosmetic Dermatology of Rhode Island, LLC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Sep 26, 2007
- Last Updated
- Mar 4, 2016
Practice Location
- Address
- 1 RANDALL SQ
- Address 2
- SUITE 306
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02904-2709
- Phone
- (401) 751-7546
Authorized Official
- Name
- DR. MARINA KUPERMAN-BEADE, M.D.
- Title
- OWNER
- Phone
- (401) 751-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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