| NPI | 1023797826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROCHELEAU Owner 401-373-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-01-22 |