Individual
DR. RAYMOND G DUFRESNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, APC-10, PROVIDENCE, RI 02903-4923
(401) 444-7024
(401) 444-7135
Mailing address
593 EDDY ST, APC-10, PROVIDENCE, RI 02903-4923
(401) 444-7024
(401) 444-7135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD7571
RI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD07571
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006557
—
RI
Enumeration date
04/03/2006
Last updated
07/12/2007
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