Organization
NORTHEAST INSTITUTE OF PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PIERRE ROSS MICHAUD MD. (PRESIDENT)
(401) 828-4840
Entity
Organization
Contact information
Practice address
875 CENTERVILLE ROAD, BUILDING 2, WARWICK, RI 02886
(401) 828-4840
(401) 828-9570
Mailing address
875 CENTERVILLE ROAD, BUILDING 2, WARWICK, RI 02886
(401) 828-4840
(401) 828-9570
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD10018
RI
Other
Enumeration date
07/16/2009
Last updated
08/09/2012
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