University Plastic Surgery Associates Inc

LBN: University Plastic Surgeons Inc
University Plastic Surgery Associates Inc is an health care organization with primary practice located at 120 Dudley Street Suite #201, Providence RI 02905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. University Plastic Surgeons Inc can be contacted via phone (401) 521-9290, or through Bevivino, Jack R via phone (401) 521-9290.

Contact Information

Primary practice address
120 Dudley Street Suite #201 Providence RI 02905
Fax: (401) 521-9297
Website:
Authorized official contact:
Name: Bevivino, Jack R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X RIMD05259 Rhode Island

Profile Details

NPI number 1093882615
LBN Legal business name University Plastic Surgeons Inc
DBA Doing business as University Plastic Surgery Associates Inc
Authorized official Bevivino, Jack R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093882615 NPPES
Rhode Island MEDICAID 9002112
Rhode Island Other 1300124
Rhode Island Other 21126

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