| NPI | 1053788356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA WADEKAR Credentialing Coordinator 401-770-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 4704272276) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |