| NPI | 1336365873 |
|---|---|
| Other Name | COLLYER STREET OPERATORY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE R DEROCHE Practice Administrator 401-276-2001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: RI PHS00006) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-09-18 |