| NPI | 1689626764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GORDON Revenue Cycle Director 401-443-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 363L00000X Nurse Practitioner | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-07-18 |