Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surgical & Cosmetic Dermatology of Rhode Island, LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1770770547

Surgical & Cosmetic Dermatology of Rhode Island, LLC is an MOHS-Micrographic Surgery Physician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Randall Sq Ste 306
Providence, RI 02904-2709
Phone: (401) 751-7546
Fax: (401) 751-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD10753 (RI)

Record details

NPI number1770770547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marina Kuperman-Beade — Owner · (401) 751-7546
NPI enumeratedSeptember 26, 2007
Last updated in NPPESMarch 4, 2016
Mailing address1 Randall Sq, Suite 306, Providence, RI 02904-2709

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