| NPI | 1093239519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZUBA General Manager 401-235-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |