| NPI | 1619936028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE M CECCOFIGLIO Billing Manager 401-739-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI RI331) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2009-07-14 |