| NPI | 1346427325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATHALLA MASHALI President 401-490-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: RI PHS0007) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-05-23 |