Individual
ANNE B BERCOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
148 W RIVER ST STE 1B, PROVIDENCE, RI 02904-2615
(401) 273-9310
(401) 273-1270
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
38330
MA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
MD12674
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062704
—
MA
Enumeration date
02/01/2006
Last updated
09/20/2022
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