NPI | 1417132549 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN JOSEPH PETTERUTI President 401-921-5934 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI D413) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2011-12-22 |