| NPI | 1073864591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MCEACHERN Sole Owner/ Medical Director 401-419-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: RI 11312) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2014-04-01 |