| NPI | 1922887157 |
|---|---|
| Doing Business As | GREENWICH BAY MEDICINE |
| Doing Business As | BLACKSTONE VALLEY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DESIREE COFFEY Practice Manager 401-398-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-03-18 |