NPI | 1396977823 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C CHANG Medical Director 401-941-3166 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: RI 6631) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2009-08-17 |