| NPI | 1992216907 |
|---|---|
| Doing Business As | PROVIDENCE THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | ANTHONY DUNNING MARTINEZ Owner 401-935-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 238099) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |