| NPI | 1700031531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER FRANK ROETTINGER President 401-849-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI 4796) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |