| NPI | 1043507734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN G FORT CEO 401-766-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD07281) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI 06195) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |