| NPI | 1578678777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA ALVES Practice Manager 401-444-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 174400000X Specialist (Licence: RI RI7784) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-05-30 |