| NPI | 1780782706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GERVASINI Office Manager 401-596-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-01-22 |