| NPI | 1265770937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HUMULOCK Office Manager 401-921-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI do00521) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |