| NPI | 1871041491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M MONIZ Owner 401-738-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI DPM277) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI DPM208) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |