| NPI | 1417329491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN ASHEY Executive Director 401-334-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-09-22 |