Graduated: 2000
NPI: 1306917521
Practice Locations (2)
UNIVERSITY GASTROENTEROLOGY, LLC
33 STANIFORD ST
PROVIDENCE, RI 029053105
4014218800
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014447024
Source: CMS National Downloadable File, September 2026.