| NPI | 1437897469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GORDON Rcm Director 401-443-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine |
| 208M00000X Hospitalist | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-01-18 |