| NPI | 1598419509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEBER SHILL Chief Executive Officer 401-457-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |