| NPI | 1013925965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE LIN LUTZEL Office Manager 401-596-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: RI 7511) |
| Additional Taxonomies | 208800000X Urology (Licence: RI 10831) |
| 208800000X Urology (Licence: CT 040289) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-04-25 |