| NPI | 1417326604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZUBA Office Manager 401-642-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00834) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |