| NPI | 1942630264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BRENMAN Practice Administrator 401-769-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |