IndividualActive
Bertram Flaxman, MD
NPI 1962578617 · Dermatology Physician · Providence, RI
Provider details
- NPI number
- 1962578617
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- RI4029 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
189 Governor St
Providence, RI 02906
Phone: (401) 331-1008
Fax: (401) 861-6761
Approximate (ZIP-level) locationGet directions
Mailing address
189 Governor St
Providence, RI 02906
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2011-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.