| NPI | 1023503901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD STEWART MOWLDS Physician 401-225-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A129690) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |