Graduated: 2022
NPI: 1235868969
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
11 COMMERCE WAY, SUITE 5
JOHNSTON, RI 029194613
4016062610
COASTAL MEDICAL PHYSICIANS INC
727 E AVE
PAWTUCKET, RI 028606185
4017256160
Source: CMS National Downloadable File, September 2026.