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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAIRFAX ACNE & DERMATOLOGY SERVICES, PC

Active Organization

FAIRFAX ACNE & DERMATOLOGY SERVICES, PC is a Nurse Practitioner organization located in EAST PROVIDENCE, Rhode Island. NPI 1245947332 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · EAST PROVIDENCE, RI

Registration Details

NPI Number
1245947332
Provider Type
Organization
NPI Issued
Oct 31, 2022 (3.8032726773332 yrs)
Last Updated
Oct 31, 2022

Practice Information

Address
1275 WAMPANOAG TRAIL
STE. 6
EAST PROVIDENCE, RI, 029151217
Browse RI providers · Browse ZIP 02915
Phone
5084044853
Primary Specialty
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.