| NPI | 1346366622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MANUEL SIMOES Podiatrist 401-726-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI DPM00312) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |