| NPI | 1134514276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN H. MARTIN Managing Partner 401-821-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2017-10-11 |