| NPI | 1336463249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN G MCCLOY Owner 401-312-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: RI MD05160) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |