| NPI | 1851573760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CHRISTINE KELLY Physician 401-667-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: RI DO00604) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2011-07-07 |