| 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 |