Medical school: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated: 2001
NPI: 1225055122
Practice Locations (2)
1375 WAMPANOAG TRAIL
EAST PROVIDENCE, RI 029151051
4016431776
1375 WAMPANOAG TRL
RIVERSIDE, RI 029151051
Source: CMS National Downloadable File, September 2026.