| NPI | 1093882615 |
|---|---|
| Doing Business As | UNIVERSITY PLASTIC SURGERY ASSOCIATES INC |
| Entity Type | Organization |
| Authorized Contact | JACK R BEVIVINO President 401-521-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI RIMD05259) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |