| NPI | 1861713885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G SLATTERY Owner 401-884-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: RI RI 8483) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |