NPI | 1821277427 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN J KERZER Owner 401-467-3115 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI do00303) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI md11053) |
363L00000X Nurse Practitioner (Licence: RI npp37217) | |
363L00000X Nurse Practitioner (Licence: RI NPP37523) | |
Enumeration Date | 2007-10-31 |
Last Update Date | 2011-12-20 |