Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 1985
NPI: 1033226444
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
BROWN EMERGENCY MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.