| NPI | 1538387048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CARL OLCHOWSKI Part Owner 401-273-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI 05428) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |