Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1265489306
Practice Locations (2)
PROSPECT CHARTERCARE PHYSICIANS LLC
1681 CRANSTON ST
CRANSTON, RI 029205000
4019446889
PROSPECT CHARTERCARE PHYSICIANS LLC
1524 ATWOOD AVE, SUITE 44
JOHNSTON, RI 029193228
4012729880
Source: CMS National Downloadable File, September 2026.