Graduated: 2001
NPI: 1447221668
Practice Locations (5)
LIFESPAN PHYSICIAN GROUP INC
450 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 029145300
LIFESPAN PHYSICIAN GROUP INC
185 A HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
185 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 029045114
4013546050
LIFESPAN PHYSICIAN GROUP INC
195 COLLYER ST
PROVIDENCE, RI 029041869
BROWN UROLOGY, INC.
195 COLLYER ST, SUITE 201
PROVIDENCE, RI 029041869
4012727799
Source: CMS National Downloadable File, September 2026.