| NPI | 1003982547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETER MISKOVSKY President 401-475-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD 10350) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT CT 0816) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-10-13 |