| NPI | 1285080945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE RODRIGUES Office Manager 401-738-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI MD05762) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |