Medical school: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated: 1998
NPI: 1114912193
Practice Locations (2)
PROSPECT CHARTERCARE SJHSRI LLC
2 WAKE ROBIN RD, FATIMA HOSPITAL WOUND CARE GROUP
LINCOLN, RI 028654295
4013343830
215 TOLL GATE RD, SUITE 209
WARWICK, RI 028864461
4018861132
Source: CMS National Downloadable File, September 2026.