| NPI | 1205364544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN ZUBA General Manager 401-235-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-06-08 |