| NPI | 1184944662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LYNN RODGERS Manager Payer Enrollment 401-273-0641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208600000X Surgery | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology | |
| 225X00000X Occupational Therapist | |
| 104100000X Social Worker | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208000000X Pediatrics | |
| 103G00000X Clinical Neuropsychologist | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207P00000X Emergency Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2026-03-16 |