| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649664756 | ASSAD | SAMI | 117 ELLENFIELD ST STE 101 | PROVIDENCE | RI | 029054513 | ||
| 1871816488 | DUQUE | MICHAEL | SISON | 117 ELLENFIELD ST STE 101 | PROVIDENCE | RI | 029054513 | |
| 1083384036 | MASTROSTEFANO | JAMES | ANTHONY | 117 ELLENFIELD ST STE 101 | PROVIDENCE | RI | 029054541 |