| NPI | 1346307485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH G DEJESUS Medical Director 401-461-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI 10197) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2016-03-01 |