| NPI | 1609110188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GLASSIE Manager 401-855-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: RI 0000000000) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |