NPI 1982632527

Gary Lee Waterman, DO

Practitioner Dermatology Physician Middletown, RI

Practice location

Address: 102 Valley Rd, Middletown, RI 02842-5237
Phone: (401) 239-1800
Fax: (401) 239-1793

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence OS005797L (PA)

Other Dermatology providers in Rhode Island →

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence OS 4781 (FL)

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence DO01051 (RI)

Registry record

NPI: 1982632527
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 24 Aug 2021

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.