Individual provider · Type 1 NPI

Jack R. Bevivino, MD

Plastic Surgery Physician · Providence, RI

NPI number 1780705707 Active

Practice location

120 Dudley Street, Suite #201
Providence, RI 02905-2431

Call (401) 521-9290 Map

Fax (401) 521-9297

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XRIMD05259 (RI)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1780705707

Jack R. Bevivino, MD's National Provider Identifier is 1780705707, issued on Apr 3, 2007. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.