NPI 1487761177 · live from the CMS NPI Registry
2 Dudley Street Operatory LLC
Surgery, Plastic and Reconstructive Surgery in Providence, RI. National Provider Identifier 1487761177, active.
NPI record
| NPI | 1487761177 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Surgery, Plastic and Reconstructive Surgery 2086S0122X |
| Practice location | 2 Dudley St, Suite 465, Providence, RI 02905 |
| Practice phone | 401-831-0646 |
| Enumerated | August 25, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | Arnold-Peter Weiss, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | — |
| Surgery, Plastic and Reconstructive Surgery primary | 2086S0122X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.