| NPI | 1780737296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL DREW STOKES Owner 401-596-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI MD08873) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |