Graduated: 2023
NPI: 1437035052
Practice Locations (2)
PROSPECT CHARTERCARE PHYSICIANS LLC
1524 ATWOOD AVE
JOHNSTON, RI 029193228
4012729880
PROSPECT CHARTERCARE PHYSICIANS LLC
1524 ATWOOD AVE, SUITE 44
JOHNSTON, RI 029193228
4012729880
Source: CMS National Downloadable File, September 2026.