| NPI | 1063501864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FINE Physician Operating Officer 401-725-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI 6486) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |