| NPI | 1811168164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M. CAREY Practice Administrator 401-828-7110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: RI PHS00004) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2015-09-17 |