Agape Deramtology of Johnston LLC
NPI #1871304337 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1871304337
- Entity Type
- Organization
- Organization Name
- Agape Deramtology of Johnston LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jan 15, 2025
- Last Updated
- Jan 15, 2025
Practice Location
- Address
- 1526 ATWOOD AVE STE 210
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3289
- Phone
- (401) 396-2227
Authorized Official
- Name
- MR. PAUL MALLARI, PA-C
- Title
- PRESIDENT
- Phone
- (401) 529-7787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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