| 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 |