| NPI | 1043553480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON GAPSER Owner 401-378-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: RI DO00611) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |