Organization
WEST BAY DERMATOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE S WILKEL M.D. (PARTNER)
(401) 885-4100
Entity
Organization
Contact information
Practice address
1672 S COUNTY TRL STE 202, EAST GREENWICH, RI 02818-5099
(401) 885-4100
(401) 885-4130
Mailing address
1672 S COUNTY TRL STE 202, EAST GREENWICH, RI 02818-5099
(401) 885-4100
(401) 885-4130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015999
RAILROAD MEDICARE
RI
01
—
202353
BLUE CHIP
RI
01
—
21994-1
BLUE CROSS BLUE SHIELD
RI
05
—
WE34797
—
RI
Enumeration date
12/21/2006
Last updated
08/25/2010
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