NPI | 1932424645 |
---|---|
Entity Type | Organization |
Authorized Contact | DOREEN M MORENCY Office Manager 401-732-6828 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: RI RI7603) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI RI6157) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |