| NPI | 1780718056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA A IACOBBO Practice Manager 401-421-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: RI MD6286) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-01-07 |