Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1346227188
Practice Locations (3)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
31 CRESTVIEW DR
WESTERLY, RI 028912901
31 CRESTVIEW DR
WESTERLY, RI 028912958
4015969939
Source: CMS National Downloadable File, September 2026.