| NPI | 1720523079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA D'ALFONSO Authorized Official 401-753-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2019-07-12 |