Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1275793044
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 029053248
4012721800
UNIVERSITY SURGICAL ASSOCIATES, INC.
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 029053248
4012721800
Source: CMS National Downloadable File, September 2026.