Organization
DERMATOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA E PEDVIS-LEFTICK (OWNER)
(401) 471-6405
Entity
Organization
Contact information
Practice address
1351 S COUNTY TRL, SUITE 302, EAST GREENWICH, RI 02818-5105
(401) 471-6405
(401) 632-2842
Mailing address
1351 S COUNTY TRL, SUITE 302, EAST GREENWICH, RI 02818-5105
(401) 471-6405
(401) 632-2842
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10175
RI
Other
Enumeration date
12/06/2012
Last updated
12/20/2012
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