Organization
RHODE ISLAND DERMATOLOGY AND LASER MEDICINE
Active
Other names
Rhode Island Dermatology and Laser Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GINA WELCH PH.D. (PRACTICE ADMINISTRATOR)
(401) 521-7300
Entity
Organization
Contact information
Practice address
845 N MAIN ST, SUITE 3, PROVIDENCE, RI 02904-5700
(401) 521-7300
(401) 521-7307
Mailing address
845 N MAIN ST, SUITE 3, PROVIDENCE, RI 02904-5700
(401) 521-7300
(401) 521-7307
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD6829
RI
Other
Enumeration date
05/26/2006
Last updated
02/17/2011
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