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NPI Code Detail

MEDICARE: DILEK CERMIK MD

MEDICARE: DILEK CERMIK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085U0001XDiagnostic Ultrasound PhysicianMD11500RI
2207V00000XObstetrics & Gynecology PhysicianMD11500RI

General Provider Information

NPI Number : 1780663286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILEK CERMIK MD
Provider Business Mailing Address
First Line : 375 ALLENS AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-5010
Country : US
Telephone Number : 401-444-0400
Fax Number : 401-444-0468
Provider Business Practice Location Address
First Line : 40 CANDACE ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-3747
Country : US
Telephone Number : 401-444-0550
Fax Number : 401-444-0427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/09/2024

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Directions to “ DILEK CERMIK MD” Practice Location

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