| NPI | 1407231293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ANDERSON Vice President Of Asc & Ancillary 401-777-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207QS0010X Family Medicine Sports Medicine | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2024-02-05 |