| 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 |