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Organization

ASPIRE DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON R. MICHAELS M.D. (MANAGER)
(401) 239-1800
Entity
Organization

Contact information

Practice address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Mailing address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD13562
RI

Other

Enumeration date
04/11/2011
Last updated
11/04/2021
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