| NPI | 1871302141 |
|---|---|
| Former Legal Business Name | AGAPE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | PAUL MALLARI President 401-737-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |