Robinson-Bostom, Leslie

Robinson-Bostom, Leslie is an individual health care provider with primary practice located at 593 Eddy St Apc 10, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Robinson-Bostom, Leslie can be contacted via phone (401) 444-7959.

Contact Information

Primary practice address
593 Eddy St Apc 10 Providence RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD8906 Rhode Island
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD8906 Rhode Island

Profile Details

NPI number 1154368454
LBN Legal business name Robinson-Bostom, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 10th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154368454 NPPES
Rhode Island MEDICAID 9025124

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