| NPI | 1669622478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK P MOURAD President 401-461-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: RI 8219) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-12-22 |