| NPI | 1598096273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATHALLA MASHALI President 401-490-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 152670) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |