NPI | 1518069657 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN WEEDEN Office Manager 401-596-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2009-06-04 |