| NPI | 1396903399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN UCCI Office Manager 401-739-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: RI DO00487) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI RI00487) |
| 174400000X Specialist (Licence: RI D0487) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2012-11-09 |