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 |