Graduated: 1999
NPI: 1083611073
Practice Locations (3)
UNIVERSITY SURGICAL ASSOCIATES, INC.
2 DUDLEY ST
PROVIDENCE, RI 029053248
4012721800
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4012721800
UNIVERSITY SURGICAL ASSOCIATES, INC.
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.