| NPI | 1396050209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE LACHANCE Executive Vice President 401-348-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 291U00000X Clinical Medical Laboratory (Licence: CT CL-0676) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2012-08-09 |