Graduated: 2008
NPI: 1063650976
Practice Locations (2)
AFFINITY PHYSICIANS LLC.
101 DUDLEY ST
PROVIDENCE, RI 029052401
4012741122
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014446966
Source: CMS National Downloadable File, September 2026.