NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1679955959 | LONGO | MICHAEL | V. |   | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
1144880063 | SCARINGI | JOHN |   |   | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
1497370282 | TANG | DEREK |   |   | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
1487237368 | WRIGHT | THADDEUS | CHRISTIAN |   | 593 EDDY ST | PROVIDENCE | RI | 029034923 |
1497318620 | YOON | JESSICA |   |   | 593 EDDY ST | PROVIDENCE | RI | 029034923 |