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:
Health care specialties
| Specialty | Code | License # | 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 13 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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