Individual
DR. LESLIE ROBINSON-BOSTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, APC 10, PROVIDENCE, RI 02903-4923
(401) 444-7959
(401) 444-7144
Mailing address
593 EDDY ST, APC 10, PROVIDENCE, RI 02903-4923
(401) 444-7959
(401) 444-7144
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD8906
RI
207ZD0900X
Dermatopathology (Pathology) Physician
MD8906
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025124
—
RI
Enumeration date
06/02/2006
Last updated
07/10/2007
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