Graduated: 2013
NPI: 1508264920
Practice Locations (3)
PROSPECT CHARTERCARE SJHSRI LLC
2 WAKE ROBIN RD, FATIMA HOSPITAL WOUND CARE GROUP
LINCOLN, RI 028654295
4013343830
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.