| NPI | 1972721157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS R. WEINER President 401-369-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: RI 07384) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |