NPI 1093882615

University Plastic Surgeons INC

Organisation Plastic Surgery Physician Providence, RI

Practice location

Address: 120 Dudley Street Suite #201, Providence, RI 02905
Phone: (401) 521-9290
Fax: (401) 521-9297

Authorised official

Name: Jack R Bevivino
Title: President
Phone: (401) 521-9290

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence RIMD05259 (RI)

Other Plastic Surgery providers in Rhode Island →

Registry record

NPI: 1093882615
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.