NPI | 1659913549 |
---|---|
Doing Business As | DR BRIAN KWETKOWSKI DO |
Entity Type | Organization |
Authorized Contact | BRIAN G KWETKOWSKI Owner/ Physician 401-471-6510 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-11-14 |