| NPI | 1508226515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARTIN Managing Partner 401-334-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2017-03-20 |