| NPI | 1225444243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE VAFIDIS Owner 401-434-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2016-06-29 |