Graduated: 2011
NPI: 1053682765
Practice Locations (6)
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
LIFESPAN PHYSICIAN GROUP INC
148 W RIVER ST, SUITE 8
PROVIDENCE, RI 029042615
4016063000
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST APC, SUITE 6
PROVIDENCE, RI 029034923
4017939172
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST GEORGE BLDG 1ST FLOOR
PROVIDENCE, RI 029034923
4017939166
Source: CMS National Downloadable File, September 2026.