| NPI | 1538161161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN Z OBRIEN Business Office Manager 401-253-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2022-07-21 |