Graduated: 2006
NPI: 1235576380
Practice Locations (4)
LIFESPAN PHYSICIAN GROUP INC
11 FRIENDSHIP ST
NEWPORT, RI 028402209
4018466400
LIFESPAN PHYSICIAN GROUP INC
185 A HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
185 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE
PROVIDENCE, RI 029062853
Source: CMS National Downloadable File, September 2026.