| NPI | 1770689002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD PETER NEVOLA Sole Stockholder 401-273-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD10281) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-06-12 |