| 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 |