| NPI | 1275955718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT J PUERINI Member 401-943-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-23 |