| NPI | 1952501421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R POLANCO Medical Director 401-275-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10514) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-09-09 |