| NPI | 1134264062 |
|---|---|
| Doing Business As | ADULT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CONKLIN Snr. Vise President 401-456-2525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI HOS00110) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: RI HOS00110) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-01-25 |