| NPI | 1740661461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207W00000X Ophthalmology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-03-22 |