Graduated: 2019
NPI: 1245791862
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE, C70
PROVIDENCE, RI 029062853
4017934545
UNIVERSITY SURGICAL ASSOCIATES, INC.
2 DUDLEY ST
PROVIDENCE, RI 029053248
4012721800
UNIVERSITY SURGICAL ASSOCIATES, INC.
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.