| NPI | 1780024687 |
|---|---|
| Doing Business As | OCEAN STATE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DANA P. HALL Owner 401-739-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD11167) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-11-13 |