Graduated: 1996
NPI: 1306967104
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014446966
AFFINITY PHYSICIANS LLC.
455 TOLL GATE RD
WARWICK, RI 028862759
4017377010
Source: CMS National Downloadable File, September 2026.