| NPI | 1255745741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSAR F SHAHEEN Owner 401-723-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 42472) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-10-16 |