| NPI | 1235101445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE P BOWEN President 401-331-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: RI RI5305) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: RI RI5305) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: RI RI5305) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: RI RI5305) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-10-26 |