| NPI | 1992757017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D'AMATO Owner 401-353-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: RI MD05562) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: RI MD10188) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI MD05562) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-04-07 |