NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1407304223 |   |   |   | SILVER FERN PRACTICE, LLC | 4 RICHMOND SQ | PROVIDENCE | RI | 029065117 |
1972269835 | BRANCO | AARON |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1912276015 | CAMPION | WILLIAM | THOMAS |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1588996441 | CASIMIRO | MARK | PAUL |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1215604566 | WELCHMAN | SAMANTHA |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |