| NPI | 1427355791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BORNSTEIN-BENNETT Doctor 401-334-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI MD12301) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2013-09-06 |