| NPI | 1235554072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HAMILTON MARTIN Owner/Physician 401-596-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-05-20 |