| NPI | 1316471063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEDAMOLA OLUWAFUNMILOLA SOLAWON Provider 401-316-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP132394) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-06-09 |