| NPI | 1235275207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN STUART KERZNER Medical Director 401-331-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: RI ri3593) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |