| NPI | 1619107323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE ROSS MICHAUD President 401-828-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI MD10018) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2012-08-09 |