NPI | 1396433348 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM CROSS Office Admin 401-320-8289 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |