NPI | 1104048396 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL V DEL GUERCIO Physician Owner 401-847-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD07423) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-06-19 |