| NPI | 1073813713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES O'HAIR Director 401-725-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: RI PA00565) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |