Organization
OCEAN STATE DERMATOLOGY, INC
Active
Other names
OCEAN STATE DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA P. HALL M.D. (OWNER)
(401) 739-7546
Entity
Organization
Contact information
Practice address
300 JEFFERSON BLVD, SUITE #305, WARWICK, RI 02888-3888
(401) 739-7546
(401) 739-7544
Mailing address
300 JEFFERSON BLVD, SUITE #305, WARWICK, RI 02888-3888
(401) 739-7545
(401) 739-7544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD11167
RI
Other
Enumeration date
06/25/2013
Last updated
11/13/2013
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