FAIRFAX ACNE & DERMATOLOGY SERVICES, PC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1245947332- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1275 WAMPANOAG TRAIL STE. 6, EAST PROVIDENCE, RI, 029151217
- Phone
- (508) 404-4853
Specialties & Taxonomies
Nurse Practitioner
Primary