| NPI | 1720212947 |
|---|---|
| Other Name | 400E PUTNAM PIKE,SMITHFIELD RI 02916 |
| Entity Type | Organization |
| Authorized Contact | KIM HAVUNEN Owner 401-725-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: RI 709003141) |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine (Licence: N/A) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |