| NPI | 1720202716 |
|---|---|
| Doing Business As | GYN SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | SANDY SMITH Practice Manager 401-331-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine (Licence: RI RI6030) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-07-11 |