Graduated: 2002
NPI: 1134433725
Practice Locations (3)
THE MIRIAM HOSPITAL
950 WARREN AVE, FL 2
EAST PROVIDENCE, RI 029141432
4016061004
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4017939132
RHODE ISLAND HOSPITAL
593 EDDY ST
PROVIDENCE, RI 029034923
4016061004
Source: CMS National Downloadable File, September 2026.