| NPI | 1659463230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM F HALL Practice Administrator 401-276-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0001X |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-11-09 |