JACK BEVIVINO, MD
Plastic Surgery
Active
Individual
NPI: 1780705707
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Plastic Surgery | 208200000X | Yes | RIMD05259 (RI) |
Frequently Asked Questions
NPI 1780705707 is the National Provider Identifier for JACK BEVIVINO, MD, a Plastic Surgery provider located in Providence, RI. This NPI was enumerated on April 3, 2007.
JACK BEVIVINO, MD practices at 120 DUDLEY STREET, SUITE #201, Providence, RI 02905.
Quick Facts
- NPI
- 1780705707
- Type
- Individual
- Enumerated
- Apr 3, 2007
- Last Updated
- Jul 8, 2007
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