Healthcare Provider Details

I. General information

NPI: 1093439044
Provider Name (Legal Business Name): FINDLEY DERMATOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 WAMPANOAG TRAIL SUITE 6
EAST PROVIDENCE RI
02915-1217
US

IV. Provider business mailing address

1275 WAMPANOAG TRAIL SUITE 6
EAST PROVIDENCE RI
02915-1217
US

V. Phone/Fax

Practice location:
  • Phone: 401-415-8586
  • Fax: 401-414-7335
Mailing address:
  • Phone: 401-415-8586
  • Fax: 401-414-7335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA B. FINDLEY
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 401-415-8586