Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2005
NPI: 1033695986
Practice Locations (3)
PROSPECT CHARTERCARE SJHSRI LLC
2 WAKE ROBIN RD, FATIMA HOSPITAL WOUND CARE GROUP
LINCOLN, RI 028654295
4013343830
PROSPECT CHARTERCARE SJHSRI LLC
200 HIGH SERVICE AVE, FATIMA HOSPITAL BREAST HEALTH GROUP
NORTH PROVIDENCE, RI 029045113
4014563928
PROSPECT CHARTERCARE SJHSRI LLC
200 HIGH SERVICE AVE
N PROVIDENCE, RI 029045113
Source: CMS National Downloadable File, September 2026.