| NPI | 1568634566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN TROMBATORE Owner 401-738-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: RI 6797) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: RI 6797) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-04-01 |