NPI | 1619067386 |
---|---|
Doing Business As | PILGRIM PARK PHYSICIANS |
Entity Type | Organization |
Authorized Contact | JOSEPH ANTHONY GRANDE President 401-941-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-13 |
Last Update Date | 2010-02-26 |