Graduated: 1991
NPI: 1073596011
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP INC
10 N MAIN ST, SUITE 2C
FALL RIVER, MA 027202130
5085643923
117 ELLENFIELD ST, SUITE 101
PROVIDENCE, RI 029054513
RHODE ISLAND HOSPITAL
593 EDDY ST
PROVIDENCE, RI 029034923
Source: CMS National Downloadable File, September 2026.