| NPI | 1568978690 |
|---|---|
| Former Legal Business Name | RI WEIGHTLOSS, LLC |
| Entity Type | Organization |
| Authorized Contact | MARTHA MARY FONTAINE Practice Manager 401-228-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD04110) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: RI MD04110) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: RI MD04110) | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |