| NPI | 1205112935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J D'AMATO Physician/Owner 401-270-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: RI MD05562) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: RI MD05562) |
| 207P00000X Emergency Medicine (Licence: RI MD05562) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2014-05-13 |