NPI | 1073973574 |
---|---|
Other Name | OCEAN STATE PRIMARY CARE OF WOONSOCKET |
Entity Type | Organization |
Authorized Contact | JEN ZUBA General Manager 401-235-7310 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |