| NPI | 1831315548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY R GARDNER Practice Administrator 401-272-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI 8926) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI 6660) |
| 207V00000X Obstetrics & Gynecology (Licence: RI 11231) | |
| 207V00000X Obstetrics & Gynecology (Licence: RI 03707) | |
| 207V00000X Obstetrics & Gynecology (Licence: RI 8281) | |
| 207V00000X Obstetrics & Gynecology (Licence: RI 5084) | |
| 207V00000X Obstetrics & Gynecology (Licence: RI 7662) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |