| NPI | 1922120054 |
|---|---|
| Doing Business As | MAIN STREET FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN LEON BOSSIAN Physician 401-789-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI DO0391) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-06-17 |