Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1104890813
Practice Locations (2)
BROWN MEDICINE
593 EDDY ST
PROVIDENCE, RI 029034923
4014444741
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.