NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1811059538 | ANDRIOTIS | JAMES |   |   | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 029064800 |
1881756500 | CHRISTOPHER | PAUL | P. |   | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 029064800 |
1952937997 | EARLEY | MARY-KATE | P |   | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 029064800 |
1275103566 | EASTMAN | COREY | LYNN |   | 345 BLACKSTONE BLVD | PROVIDENCE | RI | 029064829 |