NPI | 1154853364 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ZUBA General Manager 401-235-7310 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-07-17 |