| NPI | 1104564137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GORDON Rcm Director 401-443-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 207K00000X Allergy & Immunology | |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-02-14 |