Graduated: 2005
NPI: 1013960582
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP INC
11 FRIENDSHIP ST
NEWPORT, RI 028402209
4018466400
LIFESPAN PHYSICIAN GROUP INC
185 A HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
185 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
Source: CMS National Downloadable File, September 2026.