NPI | 1336510189 |
---|---|
Doing Business As | MAGNOLIA PEDIATRICS |
Entity Type | Organization |
Authorized Contact | LINDA DEL VECCHIO-GILBERT Owner 401-742-0414 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37205) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2019-03-08 |