| NPI | 1720137755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN D. MACMILLAN Doctor 401-732-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: RI 5410) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI 5410) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-12-15 |