| NPI | 1245350958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RAYMOND MALONEY D Irector Of Finance 401-885-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: RI MD03762) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-11-06 |