NPI | 1376937409 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN LAWRENCE MATARESE Owner/ Physician 401-732-1591 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI DO 0355) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-26 |