| NPI | 1386952612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MAULDIN Credentiaing Specialists 401-421-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2022-05-24 |