| NPI | 1275188955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SEKSCENSKI Manager Of Credentialing Services 401-443-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2021-12-07 |