Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1976
NPI: 1326022369
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
167 POINT ST, SUITE 161
PROVIDENCE, RI 029034771
4017938808
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
Source: CMS National Downloadable File, September 2026.