| NPI | 1669507133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN WHALEN Billing And Credentialing Coordinat 401-725-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-09-17 |