Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1976
NPI: 1255337671
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447959
BROWN DERMATOLOGY INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447959
Source: CMS National Downloadable File, September 2026.