| NPI | 1699909747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM LUCARELLI Physician/President 401-471-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: RI DO00491) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |