| NPI | 1558954362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ARCHER Authorized Official 401-225-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-11-29 |