IndividualActive
Lionel Bercovitch, M.D.
NPI 1962473314 · Dermatology Physician · Providence, RI
Provider details
- NPI number
- 1962473314
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD05283 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy Street,
Apc-10
Providence, RI 02903
Phone: (401) 444-7959
Fax: (401) 444-7144
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Registry dates
- Enumerated
- 2006-02-01
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.