Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1023050531
Practice Locations (1)
VMD PRIMARY PROVIDERS OF RHODE ISLAND PC
450 VETERANS MEMORIAL PKWY, SUITE 15B
EAST PROVIDENCE, RI 029145300
4014343350
Source: CMS National Downloadable File, September 2026.