| NPI | 1083624316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY A HARRISON Manager Billing & Collections 401-921-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: RI RAD0169) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-04-14 |