| NPI | 1093880148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH SUPERCZYNSKI Sole Proprietor 401-235-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10232) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2013-05-10 |