NPI | 1467543710 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFFORD BONNET Office Manager 401-954-2351 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 73981) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2023-03-07 |