Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1083679286
Practice Locations (2)
501 GREAT RD, UNIT 205
North Smithfield, RI 028966833
501 GREAT RD
NORTH SMITHFIELD, RI 028966833
4017664304
Source: CMS National Downloadable File, September 2026.