| NPI | 1407871270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R BEAUPRE Medical Director 401-463-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI 7006274) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI 1276020001) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-05-02 |