| NPI | 1376718718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M WISHIK Owner 401-274-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD07160) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-03-30 |