| NPI | 1104010032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GEORGE BRASSARD Physician / Owner 401-438-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI CMD 06972) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |