| NPI | 1134388820 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LEONARD ANTHONY MANNARELLI Owner 401-944-1748  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO452)  | 
| Enumeration Date | 2008-06-06 | 
| Last Update Date | 2008-06-06 |