| NPI | 1154712065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZBEH TORABI Manager 401-837-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 49766) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-04-22 |