| NPI | 1770770547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA KUPERMAN-BEADE Owner 401-751-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: RI MD10753) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2016-03-04 |