| NPI | 1104544949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHEN-MING MATTHEW FENG Registered Nurse 401-378-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |