Dufresne, Raymond G

Dufresne, Raymond G is an individual health care provider with primary practice located at 593 Eddy St Apc-10, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Dufresne, Raymond G can be contacted via phone (401) 444-7024.

Contact Information

Primary practice address
593 Eddy St Apc-10 Providence RI 02903-4923
Phone: (401) 444-7024
Fax: (401) 444-7135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD07571 Rhode Island
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD7571 Rhode Island

Profile Details

NPI number 1407818966
LBN Legal business name Dufresne, Raymond G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 12th, 2007 - about 19 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 1407818966 NPPES
Rhode Island MEDICAID 9006557

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