| NPI | 1407222789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HEDDE Physician/Co Owner 401-400-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: RI DO00769) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2023-07-25 |