| NPI | 1891895090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M POISSON Practice Administrator 401-294-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |