| NPI | 1831649524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J CLOUTIER Managing Employee 401-766-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: RI DPM00270) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |