| NPI | 1275856759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C VANNIEUWENHUIZE Physician 401-334-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD11885) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2014-11-18 |