| NPI | 1073634374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CABRAL Office Manager 401-738-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: RI DPM00277) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-06-14 |