Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 1980
NPI: 1194710814
Practice Locations (2)
UNIVERSITY ORTHOPEDICS INC
2 DUDLEY ST, SUITE 200
PROVIDENCE, RI 029053248
4014571500
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084728
40145620000101
Source: CMS National Downloadable File, September 2026.