Bercovitch, Anne B
Bercovitch, Anne B is an individual health care provider with primary practice located at 148 W River St Ste 1B , Providence RI 02904-2615. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, which is considered as her primary health care specialty. Bercovitch, Anne B can be contacted via phone (401) 273-9310.Contact Information
Primary practice address
148 W River St Ste 1B
Providence RI 02904-2615
Phone: (401) 273-9310
Fax: (401) 273-1270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 38330 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD12674 | Rhode Island |
Profile Details
| NPI number | 1770554131 |
|---|---|
| LBN Legal business name | Bercovitch, Anne B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Sep 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770554131 | NPPES |
| Massachusetts | MEDICAID | 2062704 |
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