| NPI | 1750413753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R DUBOIS President 401-766-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI D0307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI D0308) |
| 207Q00000X Family Medicine (Licence: RI D0428) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-01-13 |