Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1987
NPI: 1063470995
Practice Locations (2)
BROWN MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444741
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
Source: CMS National Downloadable File, September 2026.