Graduated: 2022
NPI: 1356072607
Practice Locations (3)
RHODE ISLAND HOSPITAL
593 EDDY ST
PROVIDENCE, RI 029034923
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084728
4014562026
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084735
Source: CMS National Downloadable File, September 2026.