| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568643096 | BLOOM | BRADLEY | J | 593 EDDY ST | PROVIDENCE | RI | 029034923 | |
| 1972541134 | KLEIN | ROBERT | B | 593 EDDY ST | PROVIDENCE | RI | 029034923 | |
| 1750337796 | YALCINDAG | ALI | 593 EDDY ST | PROVIDENCE | RI | 029034923 |