| NPI | 1114186715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FOGERTY President CEO 401-456-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI HOS00110) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: RI HOS00110) |
| 171R00000X Interpreter (Licence: RI HOS00110) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: RI HOS001100) | |
| 207V00000X Obstetrics & Gynecology (Licence: RI HOS00110) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |