| NPI | 1063629129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA CONCILIO Manager 401-334-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI MD08172) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |