Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1983
NPI: 1003820432
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014446779
NORTHEAST MEDICAL GROUP INC
45 WELLS ST, SUITE 104
WESTERLY, RI 028912927
4013480008
Source: CMS National Downloadable File, September 2026.