Organization
CEDARZ MEDICAL AND COSMEDICS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL Y BAAKLINI M.D. (PRESIDENT)
(401) 253-0025
Entity
Organization
Contact information
Practice address
812 METACOM AVE, BRISTOL, RI 02809-5160
(401) 253-0025
Mailing address
812 METACOM AVENUE, BRISTOL, RI 02809
(401) 253-0025
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
7640
RI
207RP1001X
Pulmonary Disease Physician
9894
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BM35884
—
RI
Enumeration date
12/28/2007
Last updated
03/14/2008
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