Graduated: 1983
NPI: 1174673412
Practice Locations (3)
75 SOCKANOSSET CROSS RD, SUITE 206
CRANSTON, RI 029205558
4012588312
12 SARAH ST
Providence, RI 029062821
12 SARAH ST
PROVIDENCE, RI 029062821
Source: CMS National Downloadable File, September 2026.