| NPI | 1770654097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A. MUELLER Owner 401-421-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: RI 9798) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |