| NPI | 1306088042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PIACITELLI Office Manager 401-886-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI md11488) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: RI md10390) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2020-04-13 |