Graduated: 2014
NPI: 1235651332
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC
88 WASHINGTON ST
TAUNTON, MA 027802465
5088287000
1308 ATWOOD AVE, UNIT 1
JOHNSTON, RI 029194936
4012279940
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934102
Source: CMS National Downloadable File, September 2026.