| NPI | 1790075398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL A BABOIAN Doctor Of Audiology/Sole Member 401-475-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: RI 152) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI 152) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-08-23 |