Bercovitch, Lionel G

Bercovitch, Lionel G is an individual health care provider with primary practice located at 593 Eddy Street, Apc-10, Providence RI 02903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bercovitch, Lionel G can be contacted via phone (401) 444-7959.

Contact Information

Primary practice address
593 Eddy Street, Apc-10 Providence RI 02903
Phone: (401) 444-7959
Fax: (401) 444-7144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 36392 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD05283 Rhode Island

Profile Details

NPI number 1962473314
LBN Legal business name Bercovitch, Lionel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 21st, 2013 - about 11 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.

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