| NPI | 1811253370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TUMA YASIGIAN Owner 401-658-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-11-01 |