NPI | 1962542829 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL RICHARD MARTIN Vice President 401-738-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI 00503) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |